Provider Demographics
NPI:1952454035
Name:CAIRNEY, DARCY MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:MARIE
Last Name:CAIRNEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:MARIE
Other - Last Name:PORTILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:3439 N.E. SANDY BLVD
Mailing Address - Street 2:NUMBER 468
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232
Mailing Address - Country:US
Mailing Address - Phone:503-880-8748
Mailing Address - Fax:309-693-9754
Practice Address - Street 1:3439 N.E. SANDY BLVD
Practice Address - Street 2:NUMBER 468
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232
Practice Address - Country:US
Practice Address - Phone:503-880-8748
Practice Address - Fax:309-454-2210
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7894T152W00000X
IL046010966152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0078940Medicaid
CASD007894Medicaid
CASD0078940Medicare ID - Type Unspecified