Individual
MARYAM ARMIN FARINOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(248) 918-9819
Mailing address
2210 SW HOFFMAN AVE, PORTLAND, OR 97201-3144
(248) 918-9819
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D62830
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740216886
—
WA
05
—
500623430
—
OR
Enumeration date
06/23/2006
Last updated
10/28/2010
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