Surbaugh, Mark F

Surbaugh, Mark F is an individual health care provider with primary practice located at 2020 Capitol St Ne , Salem OR 97301-0644. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Surbaugh, Mark F can be contacted via phone (503) 399-2470.

Contact Information

Primary practice address
2020 Capitol St Ne Salem OR 97301-0644
Phone: (503) 399-2470
Fax: (503) 375-7429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD25757 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD25757 Oregon

Profile Details

NPI number 1396794251
LBN Legal business name Surbaugh, Mark F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Apr 14th, 2015 - about 11 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 1396794251 NPPES
Oregon MEDICAID 269841

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