Individual
DR. LISA JUNE FARKOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9701 SW BARNES RD STE 299, PORTLAND, OR 97225-6689
(503) 297-3660
(503) 297-7637
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD164975
OR
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD164975
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500668335
—
OR
01
—
R174051
MEDICARE PTAN
OR
Enumeration date
04/05/2006
Last updated
01/28/2026
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