Individual
MARK F SURBAUGH
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
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
MD25757
OR
207Q00000X
Family Medicine Physician
Primary
MD25757
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269841
—
OR
Enumeration date
05/09/2006
Last updated
08/11/2025
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