NPI 1104112697 · live from the CMS NPI Registry
Marcus Lane Asby, M.D.
Internal Medicine in Vancouver, WA. National Provider Identifier 1104112697, active.
NPI record
| NPI | 1104112697 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 14406 Ne 20th Ave, Vancouver, WA 98686 |
| Practice phone | 503-652-2880 |
| Mailing address | 500 Ne Multnomah St Ste 100, Portland, OR 97232 |
| Enumerated | June 22, 2011 |
| Last updated | November 12, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | MD60470769 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.