MEDICARE: BARBARA K FERRE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD12870	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811999204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA K FERRE MD

Provider Business Mailing Address
First Line	:	1960 NW 167TH PL
Second Line	:	SUITE 200
City	:	BEAVERTON
State	:	OR
Zip	:	97006-4803
Country	:	US
Telephone Number	:	503-531-2594
Fax Number	:	503-466-1399

Provider Business Practice Location Address
First Line	:	1130 NW 22ND AVE
Second Line	:	SUITE 320
City	:	PORTLAND
State	:	OR
Zip	:	97210-2900
Country	:	US
Telephone Number	:	503-295-2546
Fax Number	:	503-790-1248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

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