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Individual

DR. MARK ANTHONY SOFIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD # L461, PORTLAND, OR 97239
(503) 494-2270
Mailing address
3181 SW SAM JACKSON PARK RD # L461, PORTLAND, OR 97239-3011
(503) 494-2270

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD188747
OR
207RG0100X
Gastroenterology Physician
Primary
MD188747
OR

Other

Enumeration date
06/28/2012
Last updated
08/14/2018
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