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Search › Oregon › 104100000X

Mark Wiseman

NPI 1710429550 · on the registry since 2016 · sole proprietor

Practice

Address
702 Sunset Dr
Ontario, OR 97914
Phone
(541) 823-9041
Organisation at this address
Lifeways, Inc
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
302

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2016-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon