Mansberger, Steven L

Mansberger, Steven L is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 200, Portland OR 97210-3057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mansberger, Steven L can be contacted via phone (503) 413-8202.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Suite 200 Portland OR 97210-3057
Fax: (503) 413-6937
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD22167 Oregon

Profile Details

NPI number 1356548861
LBN Legal business name Mansberger, Steven L
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Jul 9th, 2007 - about 19 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 1356548861 NPPES
Oregon MEDICAID 130347

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