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Individual

BRIAN WAYNE FARMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS PSYCHOLOGY

Contact information

Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 585-4949
Mailing address
698 12TH ST SE STE 145, SALEM, OR 97301-4076
(503) 622-8964

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OR
171M00000X
Case Manager/Care Coordinator
Primary
93-6002307
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122994
OR
Enumeration date
08/04/2021
Last updated
03/08/2026
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