Mark Steven Metzger MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD23691 Issued in OR

Legal business name

MARK STEVEN METZGER MD PC

Practice address

10000 SE Main St
Suite 327
Portland, OR 97216-2448

Phone

(503) 256-5866

Fax

(503) 254-0656

NPI assigned

Nov 2, 2007

Last updated

Dec 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley L Hanley

Title

Adminiastrator

Phone

(503) 256-5866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1336328608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 327",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-256-5866",
            "fax_number": "503-254-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 327",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-256-5866",
            "fax_number": "503-254-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK STEVEN METZGER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINIASTRATOR",
        "authorized_official_telephone_number": "503-256-5866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD23691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a. Terry, M.D., P.C.
• Mark G. Dillon, PH.D.
• Mark J Rushford DDS PC
• Mark J. Butterfield, D.C.
• Mark J. Morrow, MD
• Mark T Eilers DMD
• Mark W Cheng LLC
• Emma R Mark, QMHA-I
• Shiva Markandeya
• Kacee Marie Markarian, LMFT

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.