Michael Jared Manns, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6015 Issued in OR

Practice address

657 NE Hood Ave
Gresham, OR 97030-7328

Phone

(503) 912-1156

Fax

(971) 292-2932

NPI assigned

Aug 19, 2019

Last updated

Apr 27, 2021By the provider in NPPES

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evergreen Chiropractic PC

  dba Evergreen Chiropractic

  • Chiropractor
  • Gresham, OR
  • NPI 1003423914
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1912554692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 BURMA RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353240",
            "telephone_number": "971-330-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 NE HOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307328",
            "telephone_number": "503-912-1156",
            "fax_number": "971-292-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNS",
        "first_name": "MICHAEL",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Manea
• Steven Douglas Maness, M.D.
• Maria Manjarrez
• Gurdas Mann, OD
• Janet Patricia Mannelin, MSPT
• Roya Mansouri, M.D.
• Lois A Marble, CRM
• Amador Antonio Marcano III, PT
• Mary Therese Marcy, ANP
• Bridget Jean Marick, PAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.