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Marcus Cornwall, Dopc
Primary Care Clinic/Center in Milwaukie, Oregon
NPI 1154514446

Marcus Cornwall, Dopc is a Primary Care Clinic/Center based in Milwaukie, OR and is specialized in Primary Care. Marcus Cornwall, Dopc practices in Milwaukie, OR. The NPI Number for Marcus Cornwall, Dopc is 1154514446 and holds a License No. DO23052 (Oregon).

The current practice location address for Marcus Cornwall, Dopc is 6542 Se Lake Rd Ste 202, Milwaukie, OR and can be reached out via phone at 503-233-5273 and via fax at 855-492-8902.

Location: 6542 Se Lake Rd Ste 202, Milwaukie, OR, 97222-2245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154514446
Provider Name
Marcus Cornwall, Dopc
Credential
Provider Entity Type
Organization
Address
6542 Se Lake Rd Ste 202, Milwaukie, OR, 97222-2245
Phone Number
503-233-5273
Fax Number
855-492-8902
Provider Enumeration Date
08/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6542 Se Lake Rd Ste 202
City
Milwaukie
State
Oregon
Zip
97222-2245
Phone Number
503-233-5273
Fax Number
855-492-8902
person
Provider Business Mailing Address Details
Address
6542 Se Lake Rd Ste 202
City
Milwaukie
State
Oregon
Zip
97222-2245
Phone Number
503-233-5273
Fax Number
855-492-8902
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
DO23052 (Oregon)
Definition
Definition to come...
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