Federiuk, Carol S
Federiuk, Carol S is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Federiuk, Carol S can be contacted via phone (503) 418-1709.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 418-1709
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD16560 | Oregon |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 16560 | Oregon |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 16560 | Oregon |
Profile Details
| NPI number | 1447209028 |
|---|---|
| LBN Legal business name | Federiuk, Carol S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Feb 4th, 2017 - about 8 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 | 1447209028 | NPPES |
| Oregon | MEDICAID | 287970 |
Popular Providers
-
White, Charles Thayer
5330 Ne Glisan St Ste 100, Portland OR 97213-3069 -
Bogard, Peter
700 Ramsey Ave Ste 104, Grants Pass OR 97527-5788 -
Mckeag, Douglas Bruce
4411 Sw Vermont St , Portland OR 97219-1020 -
Brown, Jeffrey R
445 South Main Street , West Hartford CT 06110 -
Stowers, Kris D
3334 Capital Medical Blvd Ste 400 , Tallahassee FL 32308-4470 -
Becker, Jonathan A
501 E Broadway Ste 290 , Louisville KY 40202-2040 -
Farrell, Connor
3181 Sw Sam Jackson Park Rd , Portland OR 97239-3098 -
Diaz, Diego F
4920 N Interstate Ave , Portland OR 97217-3653