MEDICARE: FARAH SEBASTIAN

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	183500000X	Pharmacist	0020921	OR

General Provider Information

NPI Number	:	1053266288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAH SEBASTIAN

Provider Business Mailing Address
First Line	:	14600 SW MURRAY DRIVE
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14600 SW MURRAY SCHOLLS DR STE 201
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-9712
Country	:	US
Telephone Number	:	503-579-1878
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ FARAH SEBASTIAN ” Practice Location

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