Mark William Manoso in Portland - Orthopaedic Surgery Of The Spine

Mark William Manoso - NPI 1497728596

Mark William Manoso is a Orthopaedic Surgery Of The Spine in Portland, Oregon. Mark William Manoso practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Mark William Manoso is 1497728596. The last update date is 2022-05-23.

Mark William Manoso's current location address is 11782 Sw Barnes Road, Suite 300, Portland, Oregon. You can contact this provider via phone number 5032145200 and fax number 5039066613. The mailing address for Mark William Manoso is 11782 Sw Barnes Road, Suite 300, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark William Manoso
Address 11782 Sw Barnes Road, Suite 300, Portland, Oregon
Phone Number 5032145200
Fax Number 5039066613
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1497728596
Provider Enumeration Date 2006-02-09
Last Updated Date 2022-05-23

Provider Mailing Address Detail

Address 11782 Sw Barnes Road, Suite 300
City Portland
State Oregon (OR)
Post Code 97225
Phone Number 5032145200
Fax Number 5039066613

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery Of The Spine
Taxonomy 207Xs0117X
Licence No MD175044
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LICENSE # OR MD175044
500710871 OR --

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FAQs about Mark William Manoso

What is the unique 10-digit identifier code assigned to Mark William Manoso by the Centers for Medicare & Medicaid Services?

The Mark William Manoso has been issued the NPI (National Provider Identifier) 1497728596 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mark William Manoso's facilities are geographically located?

The facilities of Mark William Manoso are physically situated at the following location: 11782 Sw Barnes Road, Suite 300, Portland, OR, 97225.

What is the Mark William Manoso's specialty and taxonomy code?

The Mark William Manoso's specialty is Orthopaedic Surgery Of The Spine, and the corresponding taxonomy code is 207Xs0117X.

When did the Mark William Manoso receive its 1497728596?

The Mark William Manoso was issued its 1497728596 on 2006-02-09, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Mark William Manoso, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark William Manoso, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-05-23.

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