# MARK S. ROBERTSON, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205975588
- **Authorized official:** DR. MARK STEPHEN ROBERTSON D.O. (PHYSICIAN, OWNER)
- **Authorized official phone:** (541) 967-0404

## Contact information

- **Practice address:** 950 29TH AVE SW, ALBANY, OR 97321-3415
- **Practice address phone:** (541) 967-0404
- **Practice address fax:** (541) 967-7072
- **Mailing address:** 950 29TH AVE SW, ALBANY, OR 97321-3415
- **Mailing address phone:** (541) 967-0404
- **Mailing address fax:** (541) 967-6548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | DO23994 | OR | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 06/01/2020