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Individual

RACHEL BAUMANN MANZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD191903
OR
208000000X
Pediatrics Physician
R74948
AZ

Other

Enumeration date
05/05/2015
Last updated
11/12/2024
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