Replogle, Marilyn Louise
Replogle, Marilyn Louise is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave , Portland OR 97210-3025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Replogle, Marilyn Louise can be contacted via phone (503) 413-3051.Contact Information
Primary practice address
1015 Nw 22Nd Ave
Portland OR 97210-3025
Phone: (503) 413-3051
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD23972 | Oregon |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4840589-1205 | Utah |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD23972 | Oregon |
Profile Details
NPI number | 1255391033 |
---|---|
LBN Legal business name | Replogle, Marilyn Louise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Mar 25th, 2011 - about 14 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 | 1255391033 | NPPES |
Oregon | MEDICAID | 286568 |
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