Individual
CRAIG FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 SW MADISON AVE STE 113, CORVALLIS, OR 97333-4757
(541) 752-7220
(541) 752-5037
Mailing address
257 SW MADISON AVE STE 113, CORVALLIS, OR 97333-4757
(541) 752-7220
(541) 752-5037
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104329523
—
OR
Enumeration date
03/25/2019
Last updated
03/25/2019
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