Active NPI
Christopher Michael Manuel, DNP
- Family Nurse Practitioner
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10038521
- Practice address
- 4550 Kruse Way Ste 125
Lake Oswego, OR 97035-3533 - Phone
- (541) 206-0592
- NPI assigned
- Jun 9, 2020
- Reactivated
- Jan 30, 2025
- Last updated
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10038521 | OR | Primary |
Addresses
Primary practice location
4550 Kruse Way Ste 125
Lake Oswego, OR 97035-3533
Mailing address
4550 Kruse Way Ste 125
Lake Oswego, OR 97035-3533
Phone (541) 206-0592
Other practice location 1
5781 Main St
Springfield, OR 97478-5426
Phone (541) 654-0282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5781 Main St
Springfield, OR 97478-5426
Phone (541) 654-0282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients |
Locations
600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
5781 Main St
Springfield, OR 97478
Phone (541) 284-1694
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1700401320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 KRUSE WAY STE 125",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353533",
"telephone_number": "541-206-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 KRUSE WAY STE 125",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970353533",
"telephone_number": "541-206-0592"
}
],
"practiceLocations": [
{
"address_1": "5781 Main St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974785426",
"country_code": "US",
"telephone_number": "541-654-0282",
"fax_number": "541-654-0819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANUEL",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-09",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"deactivation_date": "2025-01-22",
"reactivation_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10038521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.