Mark Gregory Garzotto, MD
Urology in Portland, OR. Individual provider (NPI-1).
NPI number1619982139
StatusActive
Last updated in NPPESJul 26, 2011
Details
- NPI
- 1619982139
- Entity type
- Individual (NPI-1)
- Name
- Mark Gregory Garzotto
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Jul 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | MD22159 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-7760
Mailing address
1520 Se 54th AvePortland, OR 97215-3328
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