Farrell, Craig
Farrell, Craig is an individual health care provider with primary practice located at 257 Sw Madison Ave Ste 113 , Corvallis OR 97333-4757. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Farrell, Craig can be contacted via phone (541) 752-7220.Contact Information
Primary practice address
257 Sw Madison Ave Ste 113
Corvallis OR 97333-4757
Phone: (541) 752-7220
Fax: (541) 752-5037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1346701281 |
|---|---|
| LBN Legal business name | Farrell, Craig |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2019 |
| Last updated | Mar 25th, 2019 - about 6 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 | 1346701281 | NPPES |
| Oregon | MEDICAID | 1104329523 |
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