MEDICARE: STERLING FARRER DO

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	207R00000X	Internal Medicine Physician	PG193979	OR
2	207N00000X	Dermatology Physician	DO198464	OR

General Provider Information

NPI Number	:	1952836108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STERLING FARRER DO

Provider Business Mailing Address
First Line	:	1793 13TH ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-2541
Country	:	US
Telephone Number	:	503-362-8385
Fax Number	:	503-362-8434

Provider Business Practice Location Address
First Line	:	2358 NW KINGS BLVD STE 100
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97330-4687
Country	:	US
Telephone Number	:	503-362-8385
Fax Number	:	503-362-8435

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

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	08/04/2023

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Directions to “ STERLING FARRER DO” Practice Location

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