Individual
MR. MARK M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2005 W MAIN ST, BATTLE GROUND, WA 98604-4311
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
202001365NP-PP
OR
363LF0000X
Family Nurse Practitioner
21984
SC
363LF0000X
Family Nurse Practitioner
Primary
AP61027928
WA
363LP2300X
Primary Care Nurse Practitioner
AP61027928
WA
Other
Enumeration date
08/30/2018
Last updated
09/06/2023
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