Marcus Cornwall, Dopc in Milwaukie - Primary Care
Marcus Cornwall, Dopc - NPI 1154514446
Marcus Cornwall, Dopc is a Primary Care in Milwaukie, Oregon. Marcus Cornwall, Dopc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Marcus Cornwall, Dopc is 1154514446. The last update date is 2023-12-07.
Marcus Cornwall, Dopc's current location address is 6542 Se Lake Rd Ste 202, Milwaukie, Oregon. You can contact this provider via phone number 5032335273 and fax number 8554928902. The mailing address for Marcus Cornwall, Dopc is 6542 Se Lake Rd Ste 202, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marcus Cornwall, Dopc |
|---|---|
| Address | 6542 Se Lake Rd Ste 202, Milwaukie, Oregon |
| Phone Number | 5032335273 |
| Fax Number | 8554928902 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Cornwall H Marcus |
| Credentials | DO |
| Telephone Number | 5032335273 |
NPI Number Detail
| NPI Number | 1154514446 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 6542 Se Lake Rd Ste 202 |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 972222245 |
| Phone Number | 5032335273 |
| Fax Number | 8554928902 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | DO23052 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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What is the unique 10-digit identifier code assigned to Marcus Cornwall, Dopc by the Centers for Medicare & Medicaid Services?
The Marcus Cornwall, Dopc has been issued the NPI (National Provider Identifier) 1154514446 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Marcus Cornwall, Dopc located?
The Marcus Cornwall, Dopc is located at 6542 Se Lake Rd Ste 202, Milwaukie, OR 972222245.
What is the Marcus Cornwall, Dopc's specialty and taxonomy code?
The Marcus Cornwall, Dopc's specialty is Primary Care, and the corresponding taxonomy code is 261Qp2300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154514446 to Marcus Cornwall, Dopc?
The Centers for Medicare & Medicaid Services assigned the 1154514446 to Marcus Cornwall, Dopc on 2007-08-21.
As of what date were the details related to Marcus Cornwall, Dopc most recently updated or revised?
The information pertaining to Marcus Cornwall, Dopc, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-07.