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Individual

SHOSHANA FARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-8175
Mailing address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-8175

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95093394
CA

Other

Enumeration date
06/16/2016
Last updated
10/22/2020
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