Farrell, Kathleen Rose

Farrell, Kathleen Rose is an individual health care provider with primary practice located at 4531 Se Belmont St Suite 100, Portland OR 97215-1675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Farrell, Kathleen Rose can be contacted via phone (503) 215-9823.

Contact Information

Primary practice address
4531 Se Belmont St Suite 100 Portland OR 97215-1675
Phone: (503) 215-9823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X DO16024 Oregon

Profile Details

NPI number 1720051998
LBN Legal business name Farrell, Kathleen Rose
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Sep 28th, 2020 - about 5 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 1720051998 NPPES
Oregon MEDICAID 018551

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