Provider Demographics
NPI:1124210778
Name:MARQUES, HONEY EL (PA)
Entity Type:Individual
Prefix:MS
First Name:HONEY
Middle Name:EL
Last Name:MARQUES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8122 SE TIBBETTS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-1768
Mailing Address - Country:US
Mailing Address - Phone:503-255-1111
Mailing Address - Fax:503-777-8005
Practice Address - Street 1:16279 SE DIVISION ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-1971
Practice Address - Country:US
Practice Address - Phone:503-761-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI071290-01Medicaid
HI071290-01Medicaid