Organization
MARK S. ROBERTSON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEPHEN ROBERTSON D.O. (PHYSICIAN, OWNER)
(541) 967-0404
Entity
Organization
Contact information
Practice address
950 29TH AVE SW, ALBANY, OR 97321-3415
(541) 967-0404
(541) 967-7072
Mailing address
950 29TH AVE SW, ALBANY, OR 97321-3415
(541) 967-0404
(541) 967-6548
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
DO23994
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286847
—
OR
Enumeration date
02/05/2007
Last updated
06/01/2020
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