Marshall, Stevens Cloyd

Marshall, Stevens Cloyd is an individual health care provider with primary practice located at 450 Tatone St , Boardman OR 97818-8076. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Marshall, Stevens Cloyd can be contacted via phone (541) 481-7212.

Contact Information

Primary practice address
450 Tatone St Boardman OR 97818-8076
Phone: (541) 481-7212
Fax: (541) 481-5400
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 02001282 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001282 Indiana

Profile Details

NPI number 1396740585
LBN Legal business name Marshall, Stevens Cloyd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Mar 22nd, 2018 - about 6 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 1396740585 NPPES
Indiana Other 268743 BLUE CROSS BLUE SHIELD

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