Provider Demographics
NPI:1558366989
Name:DARLING, MARION J N (MD)
Entity type:Individual
Prefix:DR
First Name:MARION
Middle Name:J N
Last Name:DARLING
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 1:9535 SW 160TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8572
Mailing Address - Country:US
Mailing Address - Phone:503-579-3235
Mailing Address - Fax:
Practice Address - Street 1:16699 BOONES FERRY RD
Practice Address - Street 2:STE 210
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-4366
Practice Address - Country:US
Practice Address - Phone:503-635-0200
Practice Address - Fax:503-635-0890
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD 20446207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORMD 20446OtherLICENSE
G53784Medicare UPIN
R115000Medicare Oscar/Certification