Individual
DARREN JAY MALINOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
1400 SW 5TH AVE FL 5, PORTLAND, OR 97201-5509
(503) 494-8311
(714) 456-7601
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
A91553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A91553
MEDICAL LICENSE
CA
01
—
MD157852
MEDICAL LICENSE
OR
Enumeration date
07/06/2006
Last updated
09/06/2022
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