Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marco Colasurdo

Individual provider Neuroradiology Physician · NPI 1992392179

Marco Colasurdo is a Neurology in Portland, Oregon. Qualified in 2012, 14 years ago. Practices with University Professional Services, a 1,704-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Texas.

Years since qualifying
14
Licensed in
OR, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3042
Phone: (503) 494-7660
Fax: (503) 494-4258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence MF214492 (OR)
Neuroradiology Physician Taxonomy 2085N0700X · Licence BP10070245 (TX)

Record details

NPI number1992392179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3042

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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