Individual
JONATHAN DANIEL FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 10TH ST, HOOD RIVER, OR 97031-1565
(541) 386-9500
Mailing address
1010 10TH ST, HOOD RIVER, OR 97031-1565
(541) 386-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA209278
OR
Other
Enumeration date
08/11/2020
Last updated
05/18/2022
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