Organization
MARK A CRISLIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CRISLIP (MD)
(503) 413-8258
Entity
Organization
Contact information
Practice address
1015 NW 22ND AVE, R200, PORTLAND, OR 97210-3025
(503) 413-8258
Mailing address
1015 NW 22ND AVE, R200, PORTLAND, OR 97210-3025
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
OR
Other
Enumeration date
05/06/2007
Last updated
06/19/2008
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