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NPI Code Detail

MEDICARE: MARK FREDRICK SCHRAY M.D.

MEDICARE:   MARK FREDRICK SCHRAY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianMD16370OR
22085R0203XTherapeutic Radiology PhysicianMD16370OR

General Provider Information

NPI Number : 1063400752
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK FREDRICK SCHRAY M.D.
Provider Business Mailing Address
First Line : 1400 NW IRVING ST
Second Line : 527
City : PORTLAND
State : OR
Zip : 97209-2256
Country : US
Telephone Number : 503-222-1299
Fax Number :
Provider Business Practice Location Address
First Line : 1015 NW 22ND AVE
Second Line : LL50
City : PORTLAND
State : OR
Zip : 97210-3025
Country : US
Telephone Number : 503-413-7135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 12/01/2007

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Directions to “ MARK FREDRICK SCHRAY M.D.” Practice Location

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