Individual
MARK EDWARD SILVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
446 OAK ST, BROOKINGS, OR 97415-9612
(541) 469-7401
(541) 469-7083
Mailing address
PO BOX 5870, 446 OAK ST, BROOKINGS, OR 97415-0234
(541) 469-7401
(541) 469-7083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD15808
OR
261QA0005X
Ambulatory Family Planning Facility
Primary
44
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059709
—
OR
Enumeration date
07/18/2005
Last updated
04/10/2019
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