Individual
DR. DARICE L ZABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 293-0161
Mailing address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 293-0161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036109954
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036109954
STATE LICENSE
IL
05
—
036109954
—
IL
Enumeration date
12/23/2005
Last updated
05/13/2014
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