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Individual

MARCUS JAMES CASSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P.O

Contact information

Practice address
2824 SW SAM JACKSON PARK RD, PORTLAND, OR 97201-3006
(503) 243-1974
(503) 243-2606
Mailing address
2824 SW SAM JACKSON PARK RD, PORTLAND, OR 97201-3006
(503) 243-1974
(503) 243-2606

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213-000222
IL
224P00000X
Prosthetist
Primary
211-000184
IL

Other

Enumeration date
01/29/2007
Last updated
09/10/2010
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