Individual
DR. MARK C MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1698 E MCANDREWS RD, SUITE 160, MEDFORD, OR 97504-5589
(541) 732-7874
(541) 732-7875
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7874
(541) 732-7875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD160445
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651507
—
OR
Enumeration date
12/12/2005
Last updated
10/20/2020
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