Jardini, Mark Stephen
Jardini, Mark Stephen is an individual health care provider with primary practice located at 4015 Mercantile Dr Suite 200, Lake Oswego OR 97035-2552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jardini, Mark Stephen can be contacted via phone (503) 216-1500.Contact Information
Primary practice address
4015 Mercantile Dr Suite 200
Lake Oswego OR 97035-2552
Phone: (503) 216-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD15995 | Oregon |
Profile Details
| NPI number | 1548370380 |
|---|---|
| LBN Legal business name | Jardini, Mark Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 28th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548370380 | NPPES |
| Oregon | MEDICAID | 087460 |
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