Manoso, Mark William

Manoso, Mark William is an individual health care provider with primary practice located at 11782 Sw Barnes Road, Suite 300 , Portland OR 97225. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Manoso, Mark William can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Road, Suite 300 Portland OR 97225
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD175044 Oregon
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MD175044 Oregon

Profile Details

NPI number 1497728596
LBN Legal business name Manoso, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated May 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497728596 NPPES
Oregon Other LICENSE # MD175044
Oregon MEDICAID 500710871 MD175044

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