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KELLY ANDREA MANZ
NPI 1043858400
Registered Nurse - Psychiatric/Mental Health in North Bend, OR

Active since December 17, 2019
1592 MONROE ST, NORTH BEND, OR 97459(541) 756-2048(541) 756-2058 Get Directions Write a Review

NPPES record last updated: November 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2025, Dec 17, 2019 (2 updates tracked since 2019).

About Kelly Andrea Manz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANDREA MANZ (NPI 1043858400) is an individual psychiatric/mental health provider in North Bend, Oregon, licensed in Oregon (201901765RN) and active in the NPI registry since December 2019. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1043858400
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameKELLY ANDREA MANZ
Location Address1592 MONROE STNorth Bend, OR 97459-3657
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8164
Phone(541) 756-2048
Fax(541) 756-2058
Sole ProprietorNo
Enumeration DateDecember 17, 2019
Last NPPES UpdateNovember 23, 20252 updates tracked since enumeration
NPPES CertifiedNovember 23, 2025
✔ NPI 1043858400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OR · 201901765RN
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License 61316286 (WA)
1592 MONROE ST, North Bend, OR 97459
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Secondary Practice Location 1

Location 11201 S Proctor StTacoma, WA 98405-2047 · Phone (253) 396-5935

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM SIMON
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
VICTORIA VELASQUEZ
Peer Specialist
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
KORTNEY KAYLA ROSE COOLIDGE
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
BETTY JO THURMAN
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 726-2048
MELISSA BOYD
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
ROBERT ALAN JAMES
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
CRYSTAL SCHOTT
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
KIMBERLY KANIES
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Manz's NPI number?

The NPI number for Kelly Manz is 1043858400. It was assigned to this individual provider in the NPPES registry on December 17, 2019.

Where is Kelly Manz located?

Kelly Manz practices at 1592 Monroe St, North Bend, OR 97459. The listed phone number is (541) 756-2048.

What is Kelly Manz's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Kelly Manz was last updated on November 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.