Healthcare Provider Details

I. General information

NPI: 1922341064
Provider Name (Legal Business Name): PARIA ZARRINNEGAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MONROE PKWY STE 240
LAKE OSWEGO OR
97035-8865
US

IV. Provider business mailing address

9 MONROE PKWY STE 240
LAKE OSWEGO OR
97035-8865
US

V. Phone/Fax

Practice location:
  • Phone: 503-536-4288
  • Fax:
Mailing address:
  • Phone: 503-536-4288
  • Fax: 38-788-6175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD181767
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: