Active NPI
Mark Lawrence Silen, MD, MBA
- Pediatric Surgery Physician
- Portland, OR
National Provider Identifier
1801801394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- MD22074
- Practice address
- 2552 NW Mildred St
Portland, OR 97210-3337 - Phone
- (503) 310-9611
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | MD22074 | OR | Primary |
Addresses
Primary practice location
2552 NW Mildred St
Portland, OR 97210-3337
Mailing address
2552 NW Mildred St
Portland, OR 97210-3337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134165 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22074 | OR | MD | Pediatric Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1801801394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2552 NW MILDRED ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2552 NW MILDRED ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103337",
"telephone_number": "503-310-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILEN",
"first_name": "MARK",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "MD, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "OR",
"license": "MD22074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134165",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.