Individual
MARK JASON SAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPO
Contact information
Practice address
173 NE 102ND AVENUE, PORTLAND, OR 97220-4169
(503) 252-5100
(503) 253-8086
Mailing address
173 NE 102ND AVENUE, PORTLAND, OR 97220-4169
(503) 252-5100
(503) 253-8086
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22962
—
OR
01
—
CO004701
AMERICAN BOARD FOR CERTIFICATION ORTHTOICS & PROSTHETIC
DE
Enumeration date
09/10/2008
Last updated
02/16/2011
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