Individual
MARK RAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 338-4075
(503) 338-4076
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP195825
OR
Other
Enumeration date
01/30/2006
Last updated
02/23/2022
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