Individual provider · Type 1 NPI

Stephen John Mannino, MD

Dermatology Physician · Tigard, OR

NPI number 1679553218 Active

Practice location

10215 SW Hall Blvd
Tigard, OR 97223-8809

Fax (503) 244-5963

Other practice locations

  • 4004 Kruse Way Pl Ste 220, Lake Oswego, OR 97035-2449 · (503) 245-2415

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XMD157027 (OR)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1679553218

Stephen John Mannino, MD's National Provider Identifier is 1679553218, issued on Jan 19, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Tigard, OR. The record was last updated on Jun 27, 2025.