Individual
DR. MARLON G FLETCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 687-6353
Mailing address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09266
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261966
—
OR
Enumeration date
02/09/2006
Last updated
03/11/2016
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