Individual
DR. KATHLEEN ROSE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4531 SE BELMONT ST, SUITE 100, PORTLAND, OR 97215-1675
(503) 215-9823
Mailing address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
DO16024
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018551
—
OR
Enumeration date
02/08/2006
Last updated
09/28/2020
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