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

Cody Manriquez

Individual provider Physician Assistant · NPI 1194357897

Cody Manriquez is a Physician Assistant in Bend, Oregon. Graduated from Saint Louis University School of Medicine in 2019, 7 years ago. Practices with St Charles Health System Inc, a 383-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
Trained at
Saint Louis University School of Medicine
In the registry since
2020
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Practice location Address checks out

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone: (541) 382-3344
Fax: (541) 382-1681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1194357897
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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