Jardini, Mark Stephen

Jardini, Mark Stephen is an individual health care provider with primary practice located at 4015 Mercantile Dr Suite 200, Lake Oswego OR 97035-2552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jardini, Mark Stephen can be contacted via phone (503) 216-1500.

Contact Information

Primary practice address
4015 Mercantile Dr Suite 200 Lake Oswego OR 97035-2552
Phone: (503) 216-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD15995 Oregon

Profile Details

NPI number 1548370380
LBN Legal business name Jardini, Mark Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 28th, 2014 - about 12 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 1548370380 NPPES
Oregon MEDICAID 087460

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