Christopher Michael Manuel, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10038521 Issued in OR

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

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icco LLC 133 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Icco, LLC

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1407004757

  OR

  Medicare reassignment Care Compare group
• Icco LLC

  • Rural Health Clinic/Center
  • Florence, OR
  • NPI 1740896547
  NPD
• Icco, LLC

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1992861611
  NPD

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": []
}

• Maloney'S Custom Ocular Prosthetics, Inc.
• Manami Yamaguchi DMD LLC
• Aubrey Mann, MS SLP-CCC
• Philip C Mann, DDS, MD
• Tyler Manson, DPM
• Michael Raymond Marble, M.D.
• Jennifer March, MD, MS
• Sabrina J. Marcus, DC
• Margaret a Hewitt MD PC
• Marion J Darling MDPC

• All providers in Lake Oswego, OR
• Family Nurse Practitioner in Oregon

• 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.

Verify at the official NPI Registry.