# JAY R. FARIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770761355
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | MD-14450 | HI | — |
| 207Q00000X | Family Medicine Physician | MD14450 | HI | Yes |
| 207Q00000X | Family Medicine Physician | MD151178 | OR | — |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 07/19/2021