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Individual

DR. MARK PUSCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2020 CAPITOL ST NE, SALEM, OR 97301-0644
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 375-7429

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD16639
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
076047
MARION POLK CHP
05
076047
OR
01
106330
WORK COMP
05
8188286
WA
01
CS4159
GROUP PTAN RR MEDICARE
OR
01
P01778303
RR MEDICARE
OR
05
XPY199559
CA
Enumeration date
08/16/2006
Last updated
06/18/2023
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