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NPI Code Detail

MEDICARE: JAMES A FARLEY MD

MEDICARE:   JAMES A FARLEY  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
12084P0800XPsychiatry PhysicianMD08357OR

Other Identifiers

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

General Provider Information

NPI Number : 1386782670
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES A FARLEY MD
Provider Business Mailing Address
First Line : 2050 BEAVERCREEK RD # 101-333
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4301
Country : US
Telephone Number : 503-806-2741
Fax Number : 503-657-7676
Provider Business Practice Location Address
First Line : 1609 WILLAMETTE FALLS DR
Second Line :
City : WEST LINN
State : OR
Zip : 97068-4544
Country : US
Telephone Number : 503-806-2741
Fax Number : 855-702-2544
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 05/28/2024

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