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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497728596 | NPPES |
| Oregon | Other | LICENSE # | MD175044 |
| Oregon | MEDICAID | 500710871 | MD175044 |
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