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1760490213
MARK JOHN MERKENS
PORTLAND, OR
NPI
1760490213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OR MD16324)
Enumeration Date
2006-08-03
Last Update Date
2011-11-17
Business Address
MARK JOHN MERKENS MD
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 800-452-3563
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Mailing Address
MARK JOHN MERKENS MD
1 ICARUS LOOP
LAKE OSWEGO, OR 97035-1055
Phone number: 503-494-2753
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