Brent David Fare, CCp
Perfusionist in Portland, OR. Individual provider (NPI-1).
NPI number1164049995
StatusActive
Last updated in NPPESJun 27, 2020
Details
- NPI
- 1164049995
- Entity type
- Individual (NPI-1)
- Name
- Brent David Fare
- Credential
- CCp
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2020
- Certification date
- Jun 27, 2020
- Last updated
- Jun 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 242T00000X | Perfusionist | 080013 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-1548
Mailing address
7241 Sw 13th DrPortland, OR 97219-2073
Phone 503-319-9457
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Other Perfusionist providers in Portland, OR
- Jordan HartjenNPI 1447938212
- Jwana B Ibsies, CCPNPI 1417574807
- Terah Parker, CCPNPI 1750040879
- Jacob Matthew Wojdyla, CCPNPI 1598362899
All 5 Perfusionist providers in Portland · All 48,847 providers in Portland
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