Individual
MARQUES C LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2266 NW JOHNSON #3, PORTLAND, OR 97210
(503) 867-9005
Mailing address
2266 NW JOHNSON #3, PORTLAND, OR 97210
(503) 867-9005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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