Individual
BRYAN JACOB MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 608-2470
Mailing address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
(541) 608-2470
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A159246
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD228932
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
01/27/2026
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