Provider Demographics
NPI:1700507233
Name:MARCO, GARRETT T
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:T
Last Name:MARCO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 CUBIT ST APT 213
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-8748
Mailing Address - Country:US
Mailing Address - Phone:541-914-7587
Mailing Address - Fax:
Practice Address - Street 1:2350 CUBIT ST APT 213
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-8748
Practice Address - Country:US
Practice Address - Phone:541-914-7587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care