Individual
DR. MARCUS H CORNWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6975 SE LAKE RD, MILWAUKIE, OR 97267-2103
(503) 905-2526
(503) 905-2545
Mailing address
6975 SE LAKE RD, MILWAUKIE, OR 97267-2103
(503) 905-2526
(503) 905-2545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO23052
OR
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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