Healthcare Provider Details

I. General information

NPI: 1023775681
Provider Name (Legal Business Name): SARAH JANE E. FARO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 SW SAM JACKSON PARK RD
PORTLAND OR
97239-3079
US

IV. Provider business mailing address

3181 SW SAM JACKSON PARK RD
PORTLAND OR
97239-3079
US

V. Phone/Fax

Practice location:
  • Phone: 503-494-4609
  • Fax:
Mailing address:
  • Phone: 503-494-4609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH-0015728
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: