Individual
MARK A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
388 SW BLUFF DR, BEND, OR 97702-1360
(541) 678-0020
(541) 323-2174
Mailing address
388 SW BLUFF DR, BEND, OR 97702-1360
(541) 678-0020
(541) 323-2174
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD26648
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241835
—
OR
Enumeration date
06/06/2006
Last updated
02/21/2013
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