Individual
JONATHAN MARQUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10819 SE STARK ST, PORTLAND, OR 97216-3161
(503) 255-2291
(503) 252-1797
Mailing address
10819 SE STARK ST, PORTLAND, OR 97216-3161
(503) 255-2291
(503) 252-1797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4679
OR
Other
Enumeration date
06/14/2023
Last updated
08/01/2024
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