Healthcare Provider Details

I. General information

NPI: 1851841357
Provider Name (Legal Business Name): MARQUIS COMPANIES I, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 10/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4560 SE INTERNATIONAL WAY SUITE 100
MILWAUKIE OR
97222-4628
US

IV. Provider business mailing address

4560 SE INTERNATIONAL WAY SUITE 100
MILWAUKIE OR
97222-4628
US

V. Phone/Fax

Practice location:
  • Phone: 971-206-5164
  • Fax: 971-206-5201
Mailing address:
  • Phone: 971-206-5164
  • Fax: 971-206-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: IAN STRAND
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 971-206-5164