Doctor Name: | DR. KAREN SUE MARKS |
NPI Number: | 1639221864 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD16950 |
Business Practice Address: | 426 Sw Stark St 8th Floor Portland, OR - 972042347 |
Business Phone Number: | 5039883674 |
Business Fax Number: | 5039885030 |
Mailing Address: | 426 Sw Stark St, 8th Floor PORTLAND |
State: | OR |
Postal Code: | 972042347 |
Phone Number: | 5039883674 |
Fax Number: | 5039885030 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD16950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |