Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD26483 | OR |
NPI | 1003873340 |
---|---|
Provider Name | Dr. Hani Darwich |
First Address | Portland, OR 97208-5275 |
Second Address | Portland, OR 97216-2532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 02/11/2007 |