Hodges, Marian Osbourne

Hodges, Marian Osbourne is an individual health care provider with primary practice located at 6410 Ne Halsey St Suite 300, Portland OR 97213-4742. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Hodges, Marian Osbourne can be contacted via phone (503) 215-4691.

Contact Information

Primary practice address
6410 Ne Halsey St Suite 300 Portland OR 97213-4742
Phone: (503) 215-4691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD14917 Oregon
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD149417 Oregon

Profile Details

NPI number 1265515456
LBN Legal business name Hodges, Marian Osbourne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Oct 15th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265515456 NPPES
Oregon MEDICAID 162560

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