Healthcare Provider Details

I. General information

NPI: 1023105301
Provider Name (Legal Business Name): MARGARITA GUARIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date: 11/15/2024
Reactivation Date: 11/21/2024

III. Provider practice location address

501 N GRAHAM ST STE 330A
PORTLAND OR
97227-2001
US

IV. Provider business mailing address

PO BOX 4399
PORTLAND OR
97208-4399
US

V. Phone/Fax

Practice location:
  • Phone: 503-413-2050
  • Fax:
Mailing address:
  • Phone: 503-413-3900
  • Fax: 503-413-3710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD229655
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberMD229655
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number036.150815
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036.150815
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: