Healthcare Provider Details

I. General information

NPI: 1881014454
Provider Name (Legal Business Name): MARIA CARMELA BABARAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA CARMELA BABARAN-BUAN MD

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 NE 137TH AVE
VANCOUVER WA
98682-4933
US

IV. Provider business mailing address

500 NE MULTNOMAH ST STE 100
PORTLAND OR
97232-2031
US

V. Phone/Fax

Practice location:
  • Phone: 800-813-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA147667
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD61173602
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: