Individual
MARNI S CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9701 SW BARNES RD STE 200, PORTLAND, OR 97225-6689
(503) 734-3700
(503) 473-8462
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 23573
OR
207V00000X
Obstetrics & Gynecology Physician
Primary
MD23573
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286803
—
OR
01
—
R113183
MEDICARE PTAN
OR
Enumeration date
11/28/2005
Last updated
01/28/2026
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