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Contact Information

MICHAEL MARIETTA, MD
2880 NW STEWART PKWY STE 100
ROSEBURG, OR97471-1203
 Phone: 541-673-2267
 Fax: 541-672-9483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL MARIETTA · (Male)

NPI # 1669823985
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2016
Last updated 09/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # R-10677
  • OR License # MD206700
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2700 NW STEWART PARKWAY
    ROSEBURG, OR 97471
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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