Individual
DR. JOHN MARK MHOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2973 12TH STREET SE, SALEM, OR 97302-6162
(503) 561-7100
(503) 561-7124
Mailing address
2973 12TH STREET SE, SALEM, OR 97302-6162
(503) 561-7100
(503) 561-7124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD22170
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288383
—
OR
01
—
MD22170
OR LICENSE
OR
Enumeration date
12/12/2006
Last updated
12/07/2016
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