Provider Demographics
NPI:1720088677
Name:MARCHINI, CARLOS E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:E
Last Name:MARCHINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 NE 7TH ST
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-1635
Mailing Address - Country:US
Mailing Address - Phone:541-471-6026
Mailing Address - Fax:541-471-7051
Practice Address - Street 1:874 NE 7TH ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-1635
Practice Address - Country:US
Practice Address - Phone:541-471-6026
Practice Address - Fax:541-471-7051
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD16808207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORE61884Medicare UPIN
OR009576Medicare ID - Type Unspecified
OR118872Medicare ID - Type Unspecified