ROSEMARIE MANNINO (NPI# 1649392135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649392135 |
| Entity Type | Individual |
| Full Name | ROSEMARIE MANNINO |
| Credential | MD |
| Practice Address |
3710 Sw Us Veteran Hospital Rd Portland OR 97239 |
| Mailing Address |
3303 Sw Bond Ave Hematology Oncology Division Mc Ch14r Portland OR 97239-0001 |
| Practice Telephone | 5032208262 |
| Mailing Telephone | 5032208262 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101232280 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD190254 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 207RX0202X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Mcguire Va Medical 1201 Broad Rock Blvd, Oncology Division, Richmond, VA 232490001 | 8046755446 | 8046755447 |
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034948311 |
| Street Address |
3710 SW US VETERAN HOSPITAL RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351137 | Apurva Pandey | Internal Medicine | 1130 Nw 22nd Ave Ste 150, Portland, OR 97210-2974 | 2013-03-27 |
| 1013932854 | Robert Charles Lufkin | Internal Medicine | 5050 Ne Hoyt St Ste 256, Portland, OR 97213-2982 | 2006-07-13 |
| 1558364570 | Bruce Wilson Dana | Internal Medicine | 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 | 2005-05-23 |
| 1255740965 | Providence Health & Services - Oregon | Internal Medicine | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2014-08-06 |
| 1750708202 | Theodore Paul Braun | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-22 |
| 1437595857 | Providence Health & Services - Oregon | Internal Medicine | 4805 Ne Glisan St, Suite 6n40, Portland, OR 97213-2933 | 2013-05-13 |
| 1295171767 | Providence Health & Services - Oregon | Internal Medicine | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2013-05-10 |
| 1235400177 | Adel Kardosh | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2012-01-24 |
| 1346520327 | Providence Health & Services - Oregon | Internal Medicine | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2011-08-23 |
| 1700166782 | Providence Health & Services - Oregon | Internal Medicine | 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933 | 2011-08-23 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.