Healthcare Provider Details

I. General information

NPI: 1760586085
Provider Name (Legal Business Name): MARQUIS COMPANIES I, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 N FIRST ST
SPRINGFIELD OR
97477-3002
US

IV. Provider business mailing address

1333 1ST ST
SPRINGFIELD OR
97477-3002
US

V. Phone/Fax

Practice location:
  • Phone: 541-746-6581
  • Fax: 541-744-0874
Mailing address:
  • Phone: 541-746-6581
  • Fax: 541-744-0874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STACI TONE
Title or Position: CORPORATE CONTROLLER
Credential:
Phone: 971-206-5100