Individual
PETER FARKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 3RD STREET, TILLAMOOK, OR 97141
(503) 842-4444
Mailing address
3272 SE MADISON ST, PORTLAND, OR 97214-4249
(914) 391-5642
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
MD26820
OR
208M00000X
Hospitalist Physician
Primary
MD26820
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P000345386
MEDICARE RAILROAD
OR
Enumeration date
09/20/2006
Last updated
01/20/2017
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