Individual
DR. MARK STEPHEN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
950 29TH AVE SW, ALBANY, OR 97321-3415
(541) 967-0404
(541) 967-6548
Mailing address
950 29TH AVE SW, ALBANY, OR 97321-3415
(541) 967-0404
(541) 967-6548
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
DO23994
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286847
—
OR
Enumeration date
07/13/2006
Last updated
10/03/2012
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