Individual
AMANDA M MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2570 NW EDENBOWER BLVD., SUITE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Mailing address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(360) 729-1253
(541) 229-3309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA188302
OR
Other
Enumeration date
09/17/2016
Last updated
09/10/2025
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