Individual
MR. MANFRED PETER RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7000
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A72523
CA
208600000X
Surgery Physician
Primary
MD166488
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A725230
MEDICAL WELFARE ID#
CA
05
—
500663829
—
OR
Enumeration date
09/25/2006
Last updated
09/28/2020
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