Search › Oregon › 163WP0808X
Kelly Manz
NPI 1043858400 · on the registry since 2019
Practice
- Address
- 1592 Monroe St
North Bend, OR 97459 - Phone
- (541) 756-2048
- Fax
- (541) 756-2058
- Organisation at this address
- Columbiacare Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 44
Additional practice sites
- 1201 S Proctor St, Tacoma, WA
Registry record
- Primary taxonomy
- 163WP0808X
163WP0808X
- Also registered as
- 101YM0800X
163WP0807X - Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon