Individual
RYAN M FARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
5050 NE HOYT ST STE 315, PORTLAND, OR 97213-2982
(503) 215-8580
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
312221
OR
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
05/24/2013
Last updated
02/12/2021
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