Individual
DR. MANISH MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(503) 813-3860
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(503) 813-3860
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
324605
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2017
Last updated
12/19/2025
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