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Individual

MARCOS FABIAN BARNATAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 NW 22ND AVE, SUITE 250, PORTLAND, OR 97210-3057
(503) 413-7557
(503) 413-6547
Mailing address
1130 NW 22ND AVE, SUITE 300, PORTLAND, OR 97210-2900
(503) 413-3575
(503) 413-3578

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40854
OR
2086S0129X
Vascular Surgery Physician
Primary
40854
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
40854
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287011
OR
Enumeration date
03/21/2006
Last updated
03/04/2011
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