Michael Manning, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

200130387LPN Issued in OR

Practice address

5119 NE 57TH Ave
Portland, OR 97218-2584

Phone

(503) 215-0850

NPI assigned

Jan 4, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1356886071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 SE FRANCIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023348",
            "telephone_number": "503-446-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 NE 57TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182584",
            "telephone_number": "503-215-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "MICHAEL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "200130387LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin M. Manning, L.AC.
• James Foster Manning, MD
• Jane Martin Manning, PHARM.D.
• Jayson Manning, PT, DPT
• Lauren Brooke Manning, D.D.S., D.M.SC
• Michaela A Manning, CADCI
• Nolan Manning
• Sarah Manning, PT, DPT
• Scott Manning, RN, BSN
• Valeria Dominguez Manning, ND

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.