Healthcare Provider Details

I. General information

NPI: 1982180840
Provider Name (Legal Business Name): MARQUIS COMPANIES II, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2018
Last Update Date: 07/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 BRYANT WILLIAMS DR
KLAMATH FALLS OR
97601-7151
US

IV. Provider business mailing address

4560 SE INTERNATIONAL WAY STE 100
PORTLAND OR
97222-4628
US

V. Phone/Fax

Practice location:
  • Phone: 541-882-6691
  • Fax:
Mailing address:
  • Phone: 971-206-5125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: STACI TONE
Title or Position: CORPORATE CONTROLLER
Credential:
Phone: 971-206-5125