Individual
GERALD F FARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 INLAND SHORES WAY N, KEIZER, OR 97303-3883
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD288546
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080154598
RAILROAD MEDICARE
—
05
—
288546
—
OR
01
—
CS4159
RAILROAD MEDICARE GROUP
—
Enumeration date
06/08/2006
Last updated
05/20/2010
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