MEDICARE: MARK JOSEPH SCHERLIE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DO16682	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043210719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK JOSEPH SCHERLIE DO

Provider Business Mailing Address
First Line	:	1275 WALLACE RD NW
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97304
Country	:	US
Telephone Number	:	503-371-3232
Fax Number	:	503-375-2398

Provider Business Practice Location Address
First Line	:	1275 WALLACE RD NW
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97304
Country	:	US
Telephone Number	:	503-371-3232
Fax Number	:	503-375-2398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	04/28/2016

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Directions to “ MARK JOSEPH SCHERLIE DO” Practice Location

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