Individual
DR. MARK LAWRENCE SILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
2552 NW MILDRED ST, PORTLAND, OR 97210-3337
(503) 310-9611
Mailing address
2552 NW MILDRED ST, PORTLAND, OR 97210-3337
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD22074
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134165
—
OR
Enumeration date
07/31/2006
Last updated
04/02/2013
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