BRENT DAVID FARE CCP
NPI 1164049995
Perfusionist in Portland, OR
- Individual
- Male
- Perfusionist
About BRENT FARE
This page provides the complete NPI Profile along with additional information for Brent Fare, a provider established in Portland, Oregon with a medical specialization in Perfusionist. The healthcare provider is registered in the NPI registry with number 1164049995 assigned on June 2020. The practitioner's primary taxonomy code is 242T00000X with license number 080013 (OR). The provider is registered as an individual and his NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1164049995 Verify this NPI
- Provider Name
- BRENT DAVID FARE CCP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
- Location Phone
- (503) 494-1548
- Mailing Address
- 7241 SW 13TH DR PORTLAND, OR 97219
- Mailing Phone
- (503) 319-9457
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-27-2020
- Last Update Date
- 06-27-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Perfusionist
- Taxonomy Code
- 242T00000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 080013
- License State
- OR
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164049995, enumerated as an "individual" on June 27, 2020.
The provider is located at 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 and the phone number is (503) 494-1548.
Perfusionist with taxonomy code 242T00000X.
