Individual
GRANT MARQUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(800) 813-2000
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD224178
OR
Other
Enumeration date
12/30/2019
Last updated
08/29/2025
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