Provider Demographics
NPI:1386076867
Name:HESS, MARKUS PAOLA (PHARMD, RPH)
Entity type:Individual
Prefix:MR
First Name:MARKUS
Middle Name:PAOLA
Last Name:HESS
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 SW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OR
Mailing Address - Zip Code:97914-2626
Mailing Address - Country:US
Mailing Address - Phone:541-889-3390
Mailing Address - Fax:
Practice Address - Street 1:728 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-2626
Practice Address - Country:US
Practice Address - Phone:541-889-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013613183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist