Individual
DANIEL L. MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5710
Mailing address
707 SW GAINES ST, MAILCODE CDRCP, PORTLAND, OR 97239-2901
(503) 494-1927
(503) 494-1933
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD21193
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287576
—
OR
Enumeration date
08/03/2006
Last updated
08/17/2012
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