Individual
MARK A VALENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 548-0534
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 548-2164
(541) 548-0534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13455
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11135057
CAQH ID
OR
05
—
280339
—
OR
Enumeration date
06/03/2006
Last updated
01/02/2012
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