Mailhot, Mark
Mailhot, Mark is an individual health care provider with primary practice located at 21810 Willamette Dr Ste 200 , West Linn OR 97068-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mailhot, Mark can be contacted via phone (503) 994-4353.Contact Information
Primary practice address
21810 Willamette Dr Ste 200
West Linn OR 97068-3256
Phone: (503) 994-4353
Fax: (833) 975-0942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00047492 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD194698 | Oregon |
Profile Details
| NPI number | 1861534075 |
|---|---|
| LBN Legal business name | Mailhot, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jun 8th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861534075 | NPPES |
| Washington | MEDICAID | 8473431 |
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