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Search › Oregon › 2086S0129X

Mark Deatherage, M.D

NPI 1841293156 · on the registry since 2005

Practice

Address
1600 Nw 6th St
North Suite
Grants Pass, OR 97526
Phone
(541) 474-5533
Fax
(541) 476-2380
Organisation at this address
Northwest Family Practice Llc
Grants Pass Surgical Associates Pc
Ear Nose And Throat Associates Of Grants Pass Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
2086S0129X
2086S0129X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-17

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