Provider Demographics
NPI:1285656025
Name:BUEHLER, MARK JAMES (MD)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:JAMES
Last Name:BUEHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5050 NE HOYT
Mailing Address - Street 2:STE 660
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2990
Mailing Address - Country:US
Mailing Address - Phone:503-239-8430
Mailing Address - Fax:503-235-9342
Practice Address - Street 1:5050 NE HOYT
Practice Address - Street 2:STE 660
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2990
Practice Address - Country:US
Practice Address - Phone:503-239-8430
Practice Address - Fax:503-235-9342
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13190207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000BKPBCMedicare ID - Type Unspecified
C91665Medicare UPIN