Jenny Manzanares

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

16-CRM-226 Issued in OR

Practice address

10373 NE Hancock St Ste 106
Portland, OR 97220-3894

Phone

(503) 922-2377

NPI assigned

Dec 19, 2017

Last updated

Jan 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1659887156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 NE HANCOCK ST STE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203894",
            "telephone_number": "503-922-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 NE HANCOCK ST STE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203894",
            "telephone_number": "503-922-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10373 NE Hancock St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972203873",
            "country_code": "US",
            "telephone_number": "503-253-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZANARES",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "16-CRM-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Tiffany Manues
• Nikolay Manuylov, DO
• Bre-Anna Manwaring
• Many Rivers Holistic Medicine
• Geraldine Ropafadzo Manyowa
• Patricia Manzanares, CRM
• Marilyn D. Manzi, PSYCHOTHERAPIST LMFT
• Nelly Manzo Hernandez
• Rachel Baumann Manzo, MD
• Jessica Joy Manzoni, RN

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.