Provider Demographics
NPI:1932188141
Name:MORRAY, DARIAN W (MD)
Entity Type:Individual
Prefix:
First Name:DARIAN
Middle Name:W
Last Name:MORRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1648
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97440-1648
Mailing Address - Country:US
Mailing Address - Phone:541-242-4162
Mailing Address - Fax:541-345-2358
Practice Address - Street 1:920 COUNTRY CLUB RD
Practice Address - Street 2:STE 100A
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6024
Practice Address - Country:US
Practice Address - Phone:541-242-4162
Practice Address - Fax:541-354-2358
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD134512085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR134202Medicaid
ORR136274Medicare PIN
OR134202Medicaid