| Doctor Name: | LIONEL P MARX |
| NPI Number: | 1013268200 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA160239 |
| Business Practice Address: | 9800 Se Sunnyside Road Kaiser Permanente Clackamas, OR - 970152156 |
| Business Phone Number: | 5032811300 |
| Business Fax Number: | |
| Mailing Address: | 9800 Se Sunnyside Road, Kaiser Permanente CLACKAMAS |
| State: | OR |
| Postal Code: | 97015 |
| Phone Number: | 5032811300 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2012 |
| NPI Last Update Date: | 09/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA160239 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |