Healthcare Provider Details

I. General information

NPI: 1528063062
Provider Name (Legal Business Name): MARQUIS COMPANIES I, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 07/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E 1ST ST
NEWBERG OR
97132-3237
US

IV. Provider business mailing address

441 WERTH BLVD
NEWBERG OR
97132-7500
US

V. Phone/Fax

Practice location:
  • Phone: 503-538-9436
  • Fax: 503-538-7605
Mailing address:
  • Phone: 503-538-9436
  • Fax: 503-538-7605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number385180
License Number StateOR

VIII. Authorized Official

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