Individual
DR. MARK L JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 COBURG RD STE 300, EUGENE, OR 97401-7481
(541) 683-3234
(541) 683-8610
Mailing address
1200 EXECUTIVE PKWY STE 360, EUGENE, OR 97401-2169
(541) 683-3234
(541) 683-8610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21824-8
—
OR
Enumeration date
11/28/2006
Last updated
09/07/2022
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