Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1235 | OR |
NPI | 1073659009 |
---|---|
Provider Name | Dr. Dawson A Farr |
First Address | Portland, OR 97211-3135 |
Second Address | Salem, OR 97302-4607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/07/2007 |