MELISSA LORRAINE MANNKE NP NPI 1619252392

NPI Information

NPI: 1619252392
Provider Name: MELISSA LORRAINE MANNKE, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
3181 SW SAM JACKSON PARK RD
BAIRD HALL ROOM 18
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8665
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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
1	363LA2200X	Nurse Practitioner	Adult Health	201403203NP-PP	OREGON	No
2	363LW0102X	Nurse Practitioner	Women's Health	201403456NP-PP	OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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