Individual
SUMMER FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463
(971) 254-1357
Mailing address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463
(971) 254-1357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
06/17/2022
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