MEDICARE: DR. MARION J N DARLING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD 20446	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD 20446	OTHER	OR	LICENSE

General Provider Information

NPI Number	:	1558366989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARION J N DARLING MD

Provider Business Mailing Address
First Line	:	9535 SW 160TH AVE
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-8572
Country	:	US
Telephone Number	:	503-579-3235
Fax Number	:

Provider Business Practice Location Address
First Line	:	16699 BOONES FERRY RD
Second Line	:	STE 210
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-4366
Country	:	US
Telephone Number	:	503-635-0200
Fax Number	:	503-635-0890

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	05/21/2008

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