Provider Demographics
NPI:1386835981
Name:ZARRAGA, MARIA DULCE REGINA TOMAS (MD)
Entity Type:Individual
Prefix:
First Name:MARIA DULCE REGINA
Middle Name:TOMAS
Last Name:ZARRAGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA DULCE REGINA
Other - Middle Name:VELASCO
Other - Last Name:TOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2222 NW LOVEJOY ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210
Mailing Address - Country:US
Mailing Address - Phone:503-413-8018
Mailing Address - Fax:503-413-8011
Practice Address - Street 1:2222 NW LOVEJOY ST
Practice Address - Street 2:SUITE 315
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210
Practice Address - Country:US
Practice Address - Phone:503-413-8018
Practice Address - Fax:503-413-8011
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ORMD150677207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR218105Medicaid
OR383993Medicare Oscar/Certification