| Dr Marc Romayne Davidson, MD | |
|
24076 Se Stark, Ste 110, Gresham, OR 97030 | |
| (503) 661-5388 | |
| (503) 666-3393 |
| Full Name | Dr Marc Romayne Davidson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 24076 Se Stark, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225017783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD17775 (Oregon) | Primary |
| Entity Name | Advantage Orthopedic And Sports Medicine Clinic Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598798365 PECOS PAC ID: 9335123868 Enrollment ID: O20040614001211 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc Romayne Davidson, MD 24076 Se Stark, Ste 110, Gresham, OR 97030 Ph: (503) 661-5388 | Dr Marc Romayne Davidson, MD 24076 Se Stark, Ste 110, Gresham, OR 97030 Ph: (503) 661-5388 |
Dr. Bret Hardin Dales, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark, Suite 110, Gresham, OR 97030 Phone: 503-661-5388 Fax: 503-666-9393 | |
Dr. Jeffreys D Albright, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark, Suite 110, Gresham, OR 97030 Phone: 503-661-5388 Fax: 503-666-9393 |