MARK TABOR

ASTORIA, OR
NPI1255318952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA00726)
Enumeration Date2005-12-23
Last Update Date2016-07-06
Business Address
-- MARK TABOR PA-C
2120 EXCHANGE ST SUITE 111
ASTORIA, OR 97103-3365
Phone number: 503-325-0333
Mailing Address
-- MARK TABOR PA-C
PO BOX 96
BORING, OR 97009-0096
Phone number: 503-325-0333