Individual
JOSEPH MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-1212
Mailing address
PO BOX 488, CORVALLIS, OR 97339-0488
(541) 758-5047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102205857
VA
2085R0202X
Diagnostic Radiology Physician
Primary
DO209600
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/17/2010
Last updated
08/22/2022
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