Provider Demographics
NPI:1568527315
Name:MARION, JAMES ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:MARION
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 NE MILNE RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-4309
Mailing Address - Country:US
Mailing Address - Phone:503-953-2706
Mailing Address - Fax:
Practice Address - Street 1:333 SE 223RD AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-7454
Practice Address - Country:US
Practice Address - Phone:503-953-2706
Practice Address - Fax:503-661-1033
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor