Stephen J Mannino (NPI# 1679553218, PAC ID# 0648426247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679553218 |
| PAC ID by PECOS | 0648426247 |
| Professional Enrollment ID | I20120815000192 |
| Full Name | Stephen J Mannino |
| Organization Legal Name | PORTLAND CLINIC |
| Address |
800 Sw 13th Ave Portland OR 97205-1902 |
| Phone Number | 50322101612110 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2003 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8224942867 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 800 Sw 13th Ave, Portland, OR 97205-1902 | 50322101612110 | PORTLAND CLINIC |
| Organization Legal Name | PORTLAND CLINIC |
| Physicians | 113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haley Gail Trontel | Psychologist, Clinical | Portland Clinic | 6640 Sw Redwood Ln, Portland, OR 97224-7187 |
| Richa Uppal | Internal Medicine | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Brian M Lindeman | Family Medicine | Portland Clinic | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 |
| Thomas L Starbard | Osteopathic Manipulative Medicine | Portland Clinic | 5005 Ne Sandy Blvd, Portland, OR 97213-1941 |
| Thomas F Hirsh | Diagnostic Radiology | Portland Clinic | 9250 Sw Hall Blvd, Tigard, OR 97223-6721 |
| Yasmin Renee Maldonado-stitt | Rheumatology | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Miles P Holland | Nurse Practitioner | Portland Clinic | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 |
| Amy L Mulcaster | Obstetrics/gynecology | Portland Clinic | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 |
| Jody L Pettit | Internal Medicine | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Edward Bieniek | General Surgery | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Street Address |
800 SW 13TH AVE |
| City | PORTLAND |
| State | OR |
| Zip | 97205-1902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richa Uppal | Internal Medicine | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Yasmin Renee Maldonado-stitt | Rheumatology | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Jody L Pettit | Internal Medicine | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Edward Bieniek | General Surgery | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Laura Macdonald Sage | Internal Medicine | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Clifford Cooper | Internal Medicine | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Marie-louise Dhulst | Internal Medicine | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Michael P Cunningham | Physician Assistant | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Michah J Brasseur | Neurology | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Terresa S Jung | Obstetrics/gynecology | Portland Clinic | 800 Sw 13th Ave, Portland, OR 97205-1902 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc Vincent Gosselin | Diagnostic Radiology | Stephen W Brown and Radiology Associates of Augusta LLP | 2350 Sw Madison St, Portland, OR 97205-1025 |
| Katharine M Doel | Clinical Social Worker | 2188 Sw Park Pl, Suite 201, Portland, OR 97205-1100 | |
| Thomas W Dodson | Psychiatry | 2187 Sw Main St, Suite 102, Portland, OR 97205-1123 | |
| Lee W Shershow | Psychiatry | 2153 Sw Main St, Suite 201, Portland, OR 97205-1124 | |
| Jennifer A Stolz | Psychologist, Clinical | 909 Sw Saint Clair Ave, Portland, OR 97205-1300 | |
| Charles G Bellville | Psychiatry | 909 Sw Saint Clair Ave, Portland, OR 97205-1300 | |
| Bowen Stewart Parsons | Psychiatry | 909 Sw Saint Clair Ave, Portland, OR 97205-1300 | |
| Mary E Leone | Nurse Practitioner | Outside In | 1132 Sw 13th Ave, Portland, OR 97205-1703 |
| Susan E Strom | Chiropractic | Outside In | 1132 Sw 13th Ave, Portland, OR 97205-1703 |
| Karlyn M Nieland | Nurse Practitioner | Outside In | 1132 Sw 13th Ave, Portland, OR 97205-1703 |
| Find all physicians in zip 97205 | |||
| City | PORTLAND |
| Zip Code | 97205 |
| Specialty | DERMATOLOGY |
| City + Specialty | PORTLAND + DERMATOLOGY |
Please comment or provide details below to improve the information on Stephen J Mannino.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.