Farkouh, Lisa June
Farkouh, Lisa June is an individual health care provider with primary practice located at 9701 Sw Barnes Rd Suite 299, Portland OR 97225-6772. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Farkouh, Lisa June can be contacted via phone (503) 297-3660.Contact Information
Primary practice address
9701 Sw Barnes Rd Suite 299
Portland OR 97225-6772
Phone: (503) 297-3660
Fax: (503) 297-7637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD164975 | Oregon |
Profile Details
| NPI number | 1447212261 |
|---|---|
| LBN Legal business name | Farkouh, Lisa June |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Jun 15th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447212261 | NPPES |
| Oregon | Other | R174051 | MEDICARE PTAN |
| Oregon | MEDICAID | 500668335 | MEDICARE PTAN |
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