Dr. Kathleen Rose Farrell, D.O.
Internal Medicine, Geriatric Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1720051998
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1720051998
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathleen Rose Farrell
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2006
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | DO16024 | OR | Yes |
Practice location
4531 Se Belmont StSuite 100
Portland, OR 97215-1675
Phone 503-215-9823
Mailing address
4531 Se Belmont St Ste 100Portland, OR 97215-1675
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