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Contact Information

ROSEMARIE MANNINO, MD
3710 SW US VETERAN HOSPITAL RD
PORTLAND, OR97239
 Phone: 503-220-8262
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROSEMARIE MANNINO · (Female)

NPI Number 1649392135
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2007
Last updated 10/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD190254
  • VA License # 0101232280
  • OR Medicaid 207RX0202X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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