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Individual

RODERICK SCOTT MERCURIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10180 SE SUNNYSIDE RD, RADIOLOGY DEPARTMENT, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
10180 SE SUNNYSIDE RD, RADIOLOGY DEPARTMENT, CLACKAMAS, OR 97015-8970

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
MD00042675
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD24568
OR

Other

Enumeration date
08/30/2006
Last updated
02/04/2022
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