Mccurdy, Mark Newell

Mccurdy, Mark Newell is an individual health care provider with primary practice located at 12550 Se 93Rd Ave Ste 265, Clackamas OR 97015-8796. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mccurdy, Mark Newell can be contacted via phone (503) 659-9155.

Contact Information

Primary practice address
12550 Se 93Rd Ave Ste 265 Clackamas OR 97015-8796
Phone: (503) 659-9155
Fax: (503) 659-7336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2717 Oregon

Profile Details

NPI number 1417939364
LBN Legal business name Mccurdy, Mark Newell
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Nov 9th, 2012 - about 12 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 1417939364 NPPES
Oregon MEDICAID 126735
Oregon MEDICAID 1417939364
Oregon Other 650010218

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