STEVENS CLOYD MARSHALL D.O. NPI 1396740585

NPI Information

  • NPI: 1396740585
  • Provider Name: STEVENS CLOYD MARSHALL, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 450 TATONE ST
    BOARDMAN, OR
    ZIP 97818
  • Phone: (541) 481-7212

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NPI Details

Stevens Cloyd Marshall, D.O. is a family medicine in Boardman, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Stevens Cloyd Marshall, D.O. NPI is 1396740585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

450 TATONE ST
BOARDMAN, OR
ZIP 97818-076
Phone: (541) 481-7212
Fax: (541) 481-5400

The enumeration date for this NPI number is 6/15/2005 and was last updated on 3/22/2018.

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
1208D00000XGeneral Practice02001282INDIANANo
2207Q00000XFamily Medicine02001282INDIANAYes

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
1268743OTHERINDIANABLUE CROSS BLUE SHIELD

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: 11/21/2025

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