Individual
LIONEL P MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9361 SE 82ND AVE, HAPPY VALLEY, OR 97086-3645
(971) 202-2090
Mailing address
9361 SE 82ND AVE, HAPPY VALLEY, OR 97086-3645
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA160239
OR
363AS0400X
Surgical Physician Assistant
PA160239
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA160239
PA LICENSE
OR
Enumeration date
09/27/2012
Last updated
08/16/2023
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