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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427893528

Michael James Wanninger, RNBSN is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024
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Practice location Address checks out

2304 SE Tibbetts St
Portland, OR 97202-2177
Phone: (916) 768-4379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 10008614 (OR)

Record details

NPI number1427893528
Entity typeIndividual (Type 1)
GenderMale
Credentials RNBSN
Sole proprietorYes
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address2304 Se Tibbetts St, Portland, OR 97202-2177

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