Brent David Fare, CCP
Perfusionist · Portland, OR
Practice location
3181 SW Sam Jackson Park RdPortland, OR 97239-3011
- Phone
- (503) 494-1548
NPI record
- NPI
- 1164049995
- Entity type
- Individual (Type 1)
- Enumeration date
- June 27, 2020
- Last updated
- June 27, 2020
- Certified
- June 27, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Perfusionist Primary | 242T00000X |
080013 | OR |
Mailing address
7241 SW 13TH DrPortland, OR 97219-2073
- Phone
- (503) 319-9457
About Brent Fare
Brent David Fare, CCP is a healthcare provider registered in the NPI registry with the primary taxonomy Perfusionist (code 242T00000X). The practice location is 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011. The NPI number 1164049995 was assigned on June 27, 2020 and the record was last updated on June 27, 2020.
Brent Fare lists a license in the registry: #080013 (OR) for Perfusionist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brent David Fare, CCP?
The NPI number is 1164049995.
What is the phone number of Brent Fare?
The phone number listed for the practice location is (503) 494-1548.
Where is Brent Fare located?
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011.
What is the taxonomy code for Brent Fare?
The primary taxonomy code is 242T00000X – Perfusionist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Perfusionist providers in Portland
- Jwana B. Ibsies, CCP3181 SW Sam Jackson Park Rd
- Jordan Hartjen3710 SW Us Veterans Hospital Rd
- Jacob Matthew Wojdyla, CCP500 NE Multnomah St Ste 100
- Terah Parker, CCP500 NE Multnomah St