Crislip, Mark Alden

Crislip, Mark Alden is an sole proprietor health care provider with primary practice located at 1015 Nw 22Nd R200, Portland OR 97210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Crislip, Mark Alden can be contacted via phone (503) 413-8258.

Contact Information

Primary practice address
1015 Nw 22Nd R200 Portland OR 97210
Phone: (503) 413-8258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD16614 Oregon

Profile Details

NPI number 1457461022
LBN Legal business name Crislip, Mark Alden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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