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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK M DOLAN, M.D.

Active Sole Proprietor

DR. MARK M DOLAN, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in SALEM, Oregon. NPI 1821251125 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · SALEM, OR

Registration Details

NPI Number
1821251125
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2008 (18.150251645468 yrs)
Last Updated
Jun 10, 2019
Licenses
249195-1 (NY)
MD157386 (OR)
Sole Proprietor
Yes

Practice Information

Address
1600 STATE ST
SALEM, OR, 973014257
Browse OR providers · Browse ZIP 97301
Phone
5035406300
Fax
5035406404
Primary Specialty
Sports Medicine (Orthopaedic)
207XS0114X
Additional Specialty
Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.