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Individual

KENDRA HIGGINS FARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2801 N GANTENBEIN AVE, PEDIATRIC DEVELOPMENT & REHABILITATION PROGRAM, PORTLAND, OR 97227-1623
(503) 413-4505
(503) 413-4719
Mailing address
3795 SW CHEHALEM AVE, PORTLAND, OR 97239-1592
(503) 227-5762

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD14745
OR

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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