Replogle, Marilyn Louise

Replogle, Marilyn Louise is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave , Portland OR 97210-3025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Replogle, Marilyn Louise can be contacted via phone (503) 413-3051.

Contact Information

Primary practice address
1015 Nw 22Nd Ave Portland OR 97210-3025
Phone: (503) 413-3051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD23972 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4840589-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD23972 Oregon

Profile Details

NPI number 1255391033
LBN Legal business name Replogle, Marilyn Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 25th, 2011 - about 15 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 1255391033 NPPES
Oregon MEDICAID 286568

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