Mark a Crislip

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MARK A CRISLIP

Practice address

1015 NW 22ND Ave
R200
Portland, OR 97210-3025

Phone

(503) 413-8258

NPI assigned

May 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark CrislipNPI 1457461022

Title

MD

Phone

(503) 413-8258

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Alden Crislip, MD

  • Infectious Disease Physician
  • Portland, OR
  • NPI 1457461022
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013129410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "address_2": "R200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "address_2": "R200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A CRISLIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CRISLIP",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "503-413-8258"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Marina, DMD
• Jennifer G Marino
• Matthew Christopher Marino, PT, MSPT
• Kurt Marion, LMT
• Carina Mariscal Diaz, MS
• Mark a Terry MD PC
• Mark a. Terry, M.D., P.C.
• Mark G. Dillon, PH.D.
• Mark J Rushford DDS PC
• Mark J. Butterfield, D.C.

• Infectious Disease Physician in Portland, OR
• Providers in Portland, OR by specialty
• Infectious Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.