Provider Demographics
NPI:1427775253
Name:MARKING, CARDINAL (LMT)
Entity type:Individual
Prefix:
First Name:CARDINAL
Middle Name:
Last Name:MARKING
Suffix:
Gender:X
Credentials:LMT
Other - Prefix:
Other - First Name:RHIANNA
Other - Middle Name:
Other - Last Name:MARKING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:554 SW 12TH CIR
Mailing Address - Street 2:
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060-4542
Mailing Address - Country:US
Mailing Address - Phone:719-993-3569
Mailing Address - Fax:
Practice Address - Street 1:554 SW 12TH CIR
Practice Address - Street 2:
Practice Address - City:TROUTDALE
Practice Address - State:OR
Practice Address - Zip Code:97060-4542
Practice Address - Country:US
Practice Address - Phone:971-999-3356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25051225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist