MEDICARE: MARION J DARLING MDPC

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	261QP2300X	Primary Care Clinic/Center	MD 20446	OR

General Provider Information

NPI Number	:	1255502928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION J DARLING MDPC

Provider Business Mailing Address
First Line	:	16699 BOONES FERRY RD
Second Line	:	STE 210
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-4366
Country	:	US
Telephone Number	:
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	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARION JN DARLING
Credential	:	MD
Telephone Number	:	503-635-0200

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	05/07/2008

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