Provider Demographics
NPI:1609398700
Name:MANNING, MICHAEL CHRISTOPHER (ND)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHRISTOPHER
Last Name:MANNING
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
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Mailing Address - Street 1:300 N 130TH ST UNIT 5103
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7973
Mailing Address - Country:US
Mailing Address - Phone:559-972-1833
Mailing Address - Fax:425-814-2783
Practice Address - Street 1:18208 66TH AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-7949
Practice Address - Country:US
Practice Address - Phone:559-972-1833
Practice Address - Fax:425-814-2783
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-10
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA133N00000X
WANT61488702207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionist