MELISSA LORRAINE MANNKE NP NPI 1619252392

NPI Information

  • NPI: 1619252392
  • Provider Name: MELISSA LORRAINE MANNKE, NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 3181 SW SAM JACKSON PARK RD
    BAIRD HALL ROOM 18
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 494-8665

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NPI Details

Melissa Lorraine Mannke, NP is a women's health nurse practitioner in Portland, OR. Melissa Lorraine Mannke, NP NPI is 1619252392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
BAIRD HALL ROOM 18
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-8665
Fax: (503) 494-2958

The enumeration date for this NPI number is 10/13/2011 and was last updated on 9/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health201403203NP-PPOREGONNo
2363LW0102XNurse PractitionerWomen's Health201403456NP-PPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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