Carisio Farber, Renee Marie

Carisio Farber, Renee Marie is an individual health care provider with primary practice located at 4805 Ne Glisan St Unit 3K, Portland OR 97213-2933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carisio Farber, Renee Marie can be contacted via phone (503) 215-6150.

Contact Information

Primary practice address
4805 Ne Glisan St Unit 3K Portland OR 97213-2933
Phone: (503) 215-6150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101232018 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD169393 Oregon

Profile Details

NPI number 1700855517
LBN Legal business name Carisio Farber, Renee Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Dec 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700855517 NPPES
Oregon MEDICAID 500678128

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