Individual provider Active NPI

Mary Fariba Afsari-Howard, D.O.

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1356500821
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO151332 Issued in OR
Practice address
519 SW Park Ave Ste 304
Portland, OR 97205-3204
Phone
(971) 533-4867
Fax
(971) 206-9640
NPI assigned
Jun 9, 2008
Last updated
Mar 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO151332 OR Primary

Addresses

Primary practice location

519 SW Park Ave Ste 304
Portland, OR 97205-3204

Mailing address

2150 NE Division St. Suite 202
Gresham Women's Healthcare, P.C.
Gresham, OR 97030-5859
Phone (503) 667-4545

Other names 1

  • Fariba Mary Afsari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101023000108 OR Practitioner - Obstetrics/Gynecology 2668665530 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5633 SE Division St
Portland, OR 97206-1463
Phone (971) 533-4867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Zurima Birth Services LLC CurrentSince Mar 12, 2024 Accepting new patients
Nicholas Mills MD LLC CurrentSince May 11, 2021 Accepting new patients
Obhg Oregon PC Obstetrics & Gynecology CurrentSince May 8, 2020 Accepting new patients
My Other Me CurrentSince Jul 10, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Aug 2, 2022 Accepting new patients
Cynthia Gulick, PC PastSince Mar 22, 2009 Accepting new patients

Locations

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

2150 NE Division St
Ste 202
Gresham, OR 97030
Phone (503) 667-4545

23331 SE Stark St
Gresham, OR 97030
Phone (971) 533-4867

24850 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-9444

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

2941 Doctors Park Dr
Medford, OR 97504
Phone (541) 200-2646

2951 Doctors Park Dr
Medford, OR 97504
Phone (541) 200-2646

19600 Molalla Ave
Oregon City, OR 97045
Phone (503) 594-3270

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

519 SW Park Ave
Ste 304
Portland, OR 97205
Phone (971) 236-2612

5633 SE Division St
Portland, OR 97206
Phone (971) 533-4867

11900 SW Greenburg Rd
Tigard, OR 97223
Phone (503) 386-5424

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1356500821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 NE DIVISION ST. SUITE 202",
            "address_2": "GRESHAM WOMEN'S HEALTHCARE, P.C.",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305859",
            "telephone_number": "503-667-4545",
            "fax_number": "503-666-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 SW PARK AVE STE 304",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053204",
            "telephone_number": "971-533-4867",
            "fax_number": "971-206-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSARI-HOWARD",
        "first_name": "MARY",
        "middle_name": "FARIBA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO151332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARIBA",
            "last_name": "AFSARI",
            "middle_name": "MARY",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.