Individual
DR. DAVID B FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18380 WILLAMETTE DR, SUITE 202, WEST LINN, OR 97068-1200
(503) 635-8384
(503) 636-6475
Mailing address
18380 WILLAMETTE DR, SUITE 202, WEST LINN, OR 97068-1200
(503) 635-8384
(503) 636-6475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16003
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001785002
BLUE CROSS
OR
05
—
087650
—
OR
01
—
97068A002
CHAMPUS
OR
Enumeration date
07/12/2006
Last updated
12/04/2012
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