Individual
MARC A ZENONIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1185 SOUTH ELM ST, CANBY, OR 97013
(503) 723-4660
(503) 266-6649
Mailing address
6 CENTERPOINTE DR STE 200, LAKE OSWEGO, OR 97035-8660
(503) 797-2273
(503) 234-8155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26839
OR
208000000X
Pediatrics Physician
MD26839
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240159
—
OR
Enumeration date
08/01/2006
Last updated
09/29/2010
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