| NPI Details | |
|---|---|
| NPI | 1073510194 |
| Enumeration Date | 07/05/2005 |
| Last Updated | 02/23/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 12 years ago |
| Authorized Information | |
|---|---|
| Name | MARK MARK |
| Position | CHIEF FINANCIAL OFFICER |
| Phone | (503) 982-0111 |
| Fax | (503) 982-2481 |
| Practice Location | |
|---|---|
| 601 EVERGREEN RD WOODBURN OR, 97071-2910, US |
|
| Phone | (503) 982-0111 |
| Fax | (503) 982-2481 |
| Business Location | |
|---|---|
| 1077 GATEWAY LOOP SPRINGFIELD OR, 97477-1114, US |
|
| Phone | (541) 746-1020 |
| Fax | (541) 284-7072 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 314000000X |
| License State | Oregon |
| License Number | 800230 |
| Remove 1073510194 NPI Number | |
According to our database, 3c2md, Inc. NPI is 1073510194, taxonomy code is 314000000X and license number is 800230, license state is located at Oregon. 3c2md, Inc. physically located at 601 Evergreen Rd, Woodburn OR, 97071-2910. NPI Number 1033115704 has the healthcare provider type.
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1073510194 NPI number is provided on an as is basis without warranty of any kind. 1073510194 is maintained by the National Plan & Provider Enumeration System. The contents of 3c2md, Inc. are for informational purposes only.
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