NPI 1518967447

Mark Simchuk, DPM

Practitioner Podiatrist Grants Pass, OR

Practice location

Address: 1619 NW Hawthorne Ave Suite 110, Grants Pass, OR 97526-6008
Phone: (541) 471-7056
Fax: (541) 474-3201
Mailing address: 1619 NW Hawthorne Ave STE 110, Grants Pass, OR 97526-6008

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DP00291 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1518967447
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2005
Record last updated: 29 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.