person
Mark C Davis, PA
Medical Physician Assistant in Lake Oswego, Oregon
NPI 1508928714

Mark C Davis is a Medical Physician Assistant based in Lake Oswego, OR and is specialized in Medical. Mark C Davis practices in Lake Oswego, OR and has the professional credentials of PA. The NPI Number for Mark C Davis is 1508928714 and holds a License No. PA01047 (Oregon).

The current practice location address for Mark C Davis is 123 C Ave, Lake Oswego, OR and can be reached out via phone at 503-905-9006 and via fax at 503-238-0841.

Location: 123 C Ave, Lake Oswego, OR, 97034-2353
person
Provider Profile Details
NPI Number
1508928714
Provider Name
Mark C Davis
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
123 C Ave, Lake Oswego, OR, 97034-2353
Phone Number
503-905-9006
Fax Number
503-238-0841
Provider Enumeration Date
12/14/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
044615 05 OR
institution
Provider Business Practice Location Address Details
Address
123 C Ave
City
State
Zip
97034-2353
Phone Number
503-905-9006
Fax Number
503-238-0841
person
Provider Business Mailing Address Details
Address
123 C Ave
City
State
Zip
97034-2353
Phone Number
503-905-9006
Fax Number
503-238-0841
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01047 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA01047 (Oregon)
Definition
Definition to come...
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