NPIMap

Organization Active NPI

Monument Physiatry, PC

  • Physical Medicine & Rehabilitation Physician
  • Astoria, OR
National Provider Identifier
1407189632
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD28730 Issued in OR
Legal business name
MONUMENT PHYSIATRY, PC
Practice address
2055 Exchange St
Suite 110
Astoria, OR 97103-3419
Phone
(503) 338-4030
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Garrett Lain Marshall, MD
Title
President
Phone
(360) 296-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X MD28730 OR Primary

Addresses

Primary practice location

2055 Exchange St
Suite 110
Astoria, OR 97103-3419

Mailing address

2560 Forest Hills Ave
Grand Junction, CO 81505-1079
Phone (360) 296-6660

National Provider Directory

National Provider Directory

Locations

514 28 Rd
Ste 1
Grand Junction, CO 81501
Phone (970) 242-8162

2055 Exchange St
Ste 110
Astoria, OR 97103
Phone (503) 338-4030

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1407189632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 FOREST HILLS AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051079",
            "telephone_number": "360-296-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 EXCHANGE ST",
            "address_2": "SUITE 110",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033419",
            "telephone_number": "503-338-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT PHYSIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "LAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-296-6660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD28730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.