Hadi Farah, MD, LLC
Psychiatry & Neurology, Psychiatry in Portland, OR. Organization (NPI-2).
NPI number1164023685
StatusActive
Last updated in NPPESNov 2, 2020
Details
- NPI
- 1164023685
- Entity type
- Organization (NPI-2)
- Legal business name
- Hadi Farah, MD, LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2020
- Certification date
- Oct 29, 2020
- Last updated
- Nov 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – |
Practice location
3300 Nw 185th Ave # 1048Portland, OR 97229-3406
Phone 503-308-8115
Mailing address
3300 Nw 185th Ave # 1048Portland, OR 97229-3406
Phone 503-308-8115
Authorized official
Hadi Farah
Owner
5033088115
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