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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700855517 | NPPES |
| Oregon | MEDICAID | 500678128 |
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