Provider Demographics
NPI:1205801065
Name:DEERING, DARCY ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:DARCY
Middle Name:ELIZABETH
Last Name:DEERING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N VANCOUVER AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1668
Mailing Address - Country:US
Mailing Address - Phone:503-413-4340
Mailing Address - Fax:503-413-4898
Practice Address - Street 1:2800 N VANCOUVER AVE STE 230
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1668
Practice Address - Country:US
Practice Address - Phone:503-413-4340
Practice Address - Fax:503-413-4898
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD21351207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR288151Medicaid
ORR158767Medicare PIN
ORH26169Medicare UPIN