Individual provider · Type 1 NPI

Kelly Andrea Manz

Psychiatric/Mental Health Registered Nurse · North Bend, OR

NPI number 1043858400 Active

Practice location

1592 Monroe St
North Bend, OR 97459-3657

Fax (541) 756-2058

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Other practice locations

  • 1201 S Proctor St, Tacoma, WA 98405-2047 · (253) 396-5935

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X201901765RN (OR)
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X61316286 (WA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1043858400

Kelly Andrea Manz's National Provider Identifier is 1043858400, issued on Dec 17, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in North Bend, OR. The record was last updated on Nov 23, 2025.