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Individual

DR. MARK V HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10000 SE MAIN ST STE 60, PORTLAND, OR 97216-2461
(503) 257-0959
(503) 257-3457
Mailing address
10000 SE MAIN ST STE 60, PORTLAND, OR 97216-2461
(503) 257-0959
(503) 257-3457

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD17247
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044193
OR
Enumeration date
08/19/2005
Last updated
02/25/2025
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