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1679553218
STEPHEN JOHN MANNINO
PORTLAND, OR
NPI
1679553218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: OR MD157027)
Enumeration Date
2006-01-19
Last Update Date
2020-11-17
Business Address
Dr. STEPHEN JOHN MANNINO M.D.
800 SW 13TH AVE
PORTLAND, OR 97205-1902
Phone number: 503-221-0161
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Mailing Address
Dr. STEPHEN JOHN MANNINO M.D.
800 SW 13TH AVE
PORTLAND, OR 97205-1902
Phone number: 503-221-0161
Copy
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