Organization
MARCUS CORNWALL, DOPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS H CORNWALL DO (PHYSICIAN AND OWNER)
(503) 233-5273
Entity
Organization
Contact information
Practice address
6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
(503) 233-5273
(855) 492-8902
Mailing address
6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
(503) 233-5273
(855) 492-8902
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO23052
OR
Other
Enumeration date
08/21/2007
Last updated
12/07/2023
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