Dr. Philip C Mann
Oral & Maxillofacial Surgeon
16455 Boones Ferry Rd Ste B
Lake Oswego
, Oregon 97035-4367
Dr. Philip C Mann
Oral & Maxillofacial Surgeon
16455 Boones Ferry Rd Ste B
Lake Oswego
, Oregon 97035-4367
(503) 482-7221
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Philip C Mann
- 16455 Boones Ferry Rd Ste B
- Lake Oswego, OR
- Zip : 97035-4367
- Fax : (503) 482-7221
- Phone : (503) 482-7200
Second Address
- Dr. Philip C Mann
- 16455 Boones Ferry Rd Ste B
- Lake Oswego, OR
- Zip : 97035-4367
- Phone : (503) 567-8770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | D9277 | OR |
National Provider Identifier
| NPI | 1568605731 |
|---|---|
| Provider Name | Dr. Philip C Mann |
| First Address | Lake Oswego, OR 97035-4367 |
| Second Address | Lake Oswego, OR 97035-4367 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2009 |
| Last Update Date | 28/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.