Individual
DR. MARK ALDEN CRISLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 NW 22ND, R200, PORTLAND, OR 97210
(503) 413-8258
Mailing address
10347 SE 99TH DR, PORTLAND, OR 97266-7230
(503) 774-4450
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD16614
OR
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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