Individual
DR. MARK SIMCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1619 NW HAWTHORNE AVE, SUITE 110, GRANTS PASS, OR 97526-6008
(541) 471-7056
(541) 474-3201
Mailing address
1619 NW HAWTHORNE AVE STE 110, GRANTS PASS, OR 97526-6008
(541) 471-7056
(541) 474-3201
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00291
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150459
—
OR
Enumeration date
07/21/2005
Last updated
10/29/2025
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