Individual
MS. JOHN KIMBALL FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3270 LIBERTY RD. S., SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Mailing address
3270 LIBERTY RD. S., SALEM, OR 97302
(503) 371-0779
(503) 371-0886
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT60478651
WA
225100000X
Physical Therapist
Primary
63047
OR
Other
Enumeration date
08/13/2014
Last updated
12/06/2018
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