Mailhot, Mark

Mailhot, Mark is an individual health care provider with primary practice located at 21810 Willamette Dr Ste 200 , West Linn OR 97068-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mailhot, Mark can be contacted via phone (503) 994-4353.

Contact Information

Primary practice address
21810 Willamette Dr Ste 200 West Linn OR 97068-3256
Phone: (503) 994-4353
Fax: (833) 975-0942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00047492 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD194698 Oregon

Profile Details

NPI number 1861534075
LBN Legal business name Mailhot, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jun 8th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861534075 NPPES
Washington MEDICAID 8473431

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