Mckinstry, Mark Leo
Mckinstry, Mark Leo is an individual health care provider with primary practice located at 19875 Sw 65Th Ave , Tualatin OR 97062-8353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mckinstry, Mark Leo can be contacted via phone (503) 692-7785.Contact Information
Primary practice address
19875 Sw 65Th Ave
Tualatin OR 97062-8353
Phone: (503) 692-7785
Fax: (503) 885-1663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16271 | Oregon |
Profile Details
| NPI number | 1073582383 |
|---|---|
| LBN Legal business name | Mckinstry, Mark Leo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Feb 25th, 2011 - about 13 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 | 1073582383 | NPPES |
| Oregon | MEDICAID | 028063 |
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