Manual Medicine and Rehabilitation, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5814 Issued in OR

Legal business name

MANUAL MEDICINE AND REHABILITATION, PC

Practice address

5802 SE Powell Blvd
Portland, OR 97206-2826

Phone

(503) 774-3778

Fax

(503) 774-3880

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Wagner, DCNPI 1942533633

Title

President

Phone

(503) 774-3778

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen C Wagner, D.C.

  • Chiropractor
  • Portland, OR
  • NPI 1942533633
  NPD (past) Authorized official
• Gregory Scott Baker, D.C.

  • Occupational Health Chiropractor
  • Portland, OR
  • NPI 1154542710
  NPD (past)
• Richard Scott Sedei, DC

  • Chiropractor
  • Portland, OR
  • NPI 1821524976
  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1871027508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 SE POWELL BLVD",
            "address_2": "#100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062826",
            "telephone_number": "503-774-3778",
            "fax_number": "503-774-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062826",
            "telephone_number": "503-774-3778",
            "fax_number": "503-774-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL MEDICINE AND REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-774-3778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott Joel Mantell, D.C.
• Saleen D Manternach, MD
• Richard C Manthey, MD
• Melinda Mae Mantooth, DO
• Manual Medicine & Rehabilitation Center PC, of Wa
• Yessica Manuel
• Gerald Manuell, DC
• Heather Tiffany Manues
• Nikolay Manuylov, DO
• Bre-Anna Manwaring

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.