Individual
MARK D DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16770 SW EDY ROAD, SHERWOOD, OR 97140-9678
(503) 216-9600
(503) 216-9650
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(603) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28947
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500612008
—
OR
01
—
P01072988
RR MEDICARE- PH&S
OR
Enumeration date
06/25/2007
Last updated
03/09/2021
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