Individual
DAWN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NAIL TECH
Contact information
Practice address
4105 SUMMERLINN DR, WEST LINN, OR 97068-5110
(503) 997-3703
Mailing address
4105 SUMMERLINN DR, WEST LINN, OR 97068-5110
(503) 997-3703
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
COS-CI-10177944
OR
247200000X
Other Technician
Primary
COS-CI-10177944
OR
261QP1100X
Podiatric Clinic/Center
COS-CI-10177944
OR
Other
Enumeration date
06/15/2022
Last updated
06/22/2022
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