Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda M Manning, PA

Individual provider Physician Assistant · NPI 1851849954

Amanda M Manning, PA is a Physician Assistant in Roseburg, Oregon. Qualified in 2018, 8 years ago. Practices with Icco LLC, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214
Phone: (541) 677-7200
Fax: (541) 229-3309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1515 Village Dr, Cottage Grove, OR 97424-9700 — (541) 767-5222

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA188302 (OR)

Record details

NPI number1851849954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 17, 2016
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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