Individual
DR. MARK S METZGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 SE MAIN ST, STE 327, PORTLAND, OR 97216-2448
(503) 256-5866
(503) 254-0656
Mailing address
10000 SE MAIN ST, STE 327, PORTLAND, OR 97216-2448
(503) 256-5866
(503) 254-0656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD23691
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286838
—
OR
Enumeration date
01/11/2006
Last updated
11/17/2009
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