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MARK S. ROBERTSON P.C. NPI 1205975588


NPI Information

NPI: 1205975588
Provider Name: MARK S. ROBERTSON, P.C.
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
950 29TH AVE SW
ALBANY, OR
ZIP 97321
Phone: (541) 967-0404
Get Directions

MARK S. ROBERTSON, P.C. is an otolaryngology/facial plastic surgery otolaryngology in Albany, OR. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. MARK S. ROBERTSON, P.C. NPI is 1205975588. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

950 29TH AVE SW
ALBANY, OR
ZIP 97321-415
Phone: (541) 967-0404
Fax: (541) 967-7072

The provider's authorized official is Mark Stephen Robertson .
The authorized official title is Physician, Owner and has the following contact phone number (541) 967-0404.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 6/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryDO23994OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1286847MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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