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BRENT DAVID FARE CCP
NPI 1164049995
Perfusionist in Portland, OR

Active since June 27, 2020
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-1548 Get Directions Write a Review

NPPES record last updated: June 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brent David Fare Ccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT DAVID FARE CCP (NPI 1164049995) is an individual perfusionist provider in Portland, Oregon, licensed in Oregon (080013) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1164049995
Entity TypeIndividualMale
Primary Taxonomy242T00000X
Provider Legal NameBRENT DAVID FARECredential: CCP
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address7241 Sw 13th DrPortland, OR 97219-2073 · (503) 319-9457
Phone(503) 494-1548
Sole ProprietorYes
Enumeration DateJune 27, 2020
NPPES CertifiedJune 27, 2020
✔ NPI 1164049995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
License✔ Licensed in OR · 080013
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Fare's NPI number?

The NPI number for Brent Fare is 1164049995. It was assigned to this individual provider in the NPPES registry on June 27, 2020.

Where is Brent Fare located?

Brent Fare practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-1548.

What is Brent Fare's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Brent Fare was last updated on June 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.