Individual provider · Type 1 NPI
Melissa Lorraine Mannke, NP
Women's Health Nurse Practitioner · Portland, OR
NPI number
1619252392
Active
Practice location
3181 SW Sam Jackson Park Rd, Baird Hall Room 18
Portland, OR 97239-3011
Fax (503) 494-2958
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 201403203NP-PP (OR) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 201403456NP-PP (OR) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1619252392
Melissa Lorraine Mannke, NP's National Provider Identifier is 1619252392, issued on Oct 13, 2011. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Portland, OR. The record was last updated on Sep 18, 2018.