Individual
JUSTIN BRANDON FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
262 WINTERSAGE CIR, TALENT, OR 97540-9515
(719) 362-7848
Mailing address
262 WINTERSAGE CIR, TALENT, OR 97540-9515
(719) 362-7848
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201501661CRNA
OR
Other
Enumeration date
02/04/2010
Last updated
11/07/2016
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