Individual provider · Type 1 NPI
Marcus Tyler Altman
Retina Specialist (Ophthalmology) Physician · Portland, OR
NPI number
1699265744
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 494-4286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | MD225318 (OR) |
| Ophthalmology Physician | 207W00000X | 12733169-1205 (UT) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | MD225318 (OR) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1699265744
Marcus Tyler Altman's National Provider Identifier is 1699265744, issued on May 15, 2018. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Portland, OR. The record was last updated on Jul 7, 2025.