Individual
SAMUEL G FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 12TH STREET SE, SALEM, OR 97302
(503) 371-4350
(503) 371-1124
Mailing address
2450 12TH STREET SE, SALEM, OR 97302
(503) 371-4350
(503) 371-1124
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14639
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151803
—
OR
Enumeration date
11/17/2006
Last updated
07/08/2007
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