Individual
DR. ROY DAVID FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD14753
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050056548
RR MEDICARE
—
05
—
100251871-00
—
NE
05
—
1016484
—
WA
05
—
1376518068
—
ID
05
—
1376518068
—
MT
05
—
179093
—
OR
05
—
2085789301
—
KS
05
—
MD998OR
—
AK
Enumeration date
02/17/2006
Last updated
10/12/2018
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