# MONUMENT PHYSIATRY, PC

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

## Provider details

- **NPI number:** 1407189632
- **Authorized official:** GARRETT LAIN MARSHALL MD (PRESIDENT)
- **Authorized official phone:** (360) 296-6660

## Contact information

- **Practice address:** 2055 EXCHANGE ST, SUITE 110, ASTORIA, OR 97103-3419
- **Practice address phone:** (503) 338-4030
- **Mailing address:** 2560 FOREST HILLS AVE, GRAND JUNCTION, CO 81505-1079
- **Mailing address phone:** (360) 296-6660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD28730 | OR | Yes |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 09/04/2009