Individual
MARCO POCHOLO RIGOR VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 A AVE STE 200, LAKE OSWEGO, OR 97034-3078
(503) 635-2496
Mailing address
412 A AVE STE 200, LAKE OSWEGO, OR 97034-3078
(503) 635-2496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD185193
OR
207Q00000X
Family Medicine Physician
MD60328795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0311916
L&I
WA
01
—
G8919708
MEDICARE
WA
Enumeration date
07/10/2010
Last updated
08/07/2023
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