Individual
MARK ROBERT HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
6401 SE 34TH AVE, PORTLAND, OR 97202-8203
(503) 777-7178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ORMD20371
OR
2085R0202X
Diagnostic Radiology Physician
WAMD00035313
WA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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