Active NPI
Terrance Manning II, ND, RMSK, MA
- Naturopath
- Beaverton, OR
National Provider Identifier
1366992182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 4016
- Practice address
- 9925 SW Nimbus Ave Ste 100
Beaverton, OR 97008-7591 - Phone
- (503) 535-8302
- NPI assigned
- Oct 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4016 | OR | Primary |
Addresses
Primary practice location
9925 SW Nimbus Ave Ste 100
Beaverton, OR 97008-7591
Mailing address
17497 SW Rivendell Dr
Portland, OR 97224-7628
Phone (503) 851-6934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4016 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Interventional Spine & Sports Medicine LLC | Current | Accepting new patients | |
| Center for Traditional Medicine, P.C. | Naturopath | Past | Accepting new patients |
| National University of Natural Medicine | Past | Accepting new patients |
Locations
9925 SW Nimbus Ave
Ste 100
Beaverton, OR 97008
Phone (503) 217-6305
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Beaverton, OR
- NPI 1801139019
-
- Naturopath
- Lake Oswego, OR
- NPI 1194156448
-
- Student in an Organized Health Care Education/Training Program
- Portland, OR
- NPI 1730301250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1366992182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17497 SW RIVENDELL DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247628",
"telephone_number": "503-851-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 SW NIMBUS AVE STE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087591",
"telephone_number": "503-535-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "TERRANCE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "ND, RMSK, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-04",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.