Individual
MARION LEE GARDNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10245 NW GLENCOE RD, NORTH PLAINS, OR 97133-8233
(503) 647-9261
(503) 647-1230
Mailing address
10245 NW GLENCOE RD, NORTH PLAINS, OR 97133-8233
(503) 647-9261
(503) 647-1230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17617
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044292
—
OR
Enumeration date
09/02/2006
Last updated
12/03/2025
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