Provider Demographics
NPI:1366992182
Name:MANNING, TERRANCE II (ND, RMSK, MA)
Entity type:Individual
Prefix:DR
First Name:TERRANCE
Middle Name:
Last Name:MANNING
Suffix:II
Gender:M
Credentials:ND, RMSK, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17497 SW RIVENDELL DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7628
Mailing Address - Country:US
Mailing Address - Phone:503-851-6934
Mailing Address - Fax:
Practice Address - Street 1:9925 SW NIMBUS AVE STE 100
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-7591
Practice Address - Country:US
Practice Address - Phone:503-535-8302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4016175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath