Healthcare Provider Details

I. General information

NPI: 1598771131
Provider Name (Legal Business Name): MARK CALVIN ROWLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 WELCH STREET
SILVERTON OR
97381
US

IV. Provider business mailing address

PO BOX 465
SILVERTON OR
97381
US

V. Phone/Fax

Practice location:
  • Phone: 503-873-7920
  • Fax: 503-873-7340
Mailing address:
  • Phone: 503-873-7920
  • Fax: 503-873-7340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD18314
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: