# REPERIO HEALTH MEDICAL GROUP, PLLC

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

## Provider details

- **NPI number:** 1982438362
- **Authorized official:** DR. ALEX MARSH MD (MANAGING OWNER)
- **Authorized official phone:** (503) 931-1114

## Contact information

- **Practice address:** 4784 SE 17TH AVE STE 125, PORTLAND, OR 97202-4715
- **Practice address phone:** (844) 504-0402
- **Practice address fax:** (503) 296-5806
- **Mailing address:** 4784 SE 17TH AVE STE 125, PORTLAND, OR 97202-4715
- **Mailing address phone:** (844) 504-0402
- **Mailing address fax:** (503) 296-5806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | NULL | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 11/04/2025