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CAROL S FEDERIUK M.D.
NPI 1447209028
Family Medicine - Sports Medicine in Portland, OR

Active since May 09, 2006
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 418-1709 Get Directions Write a Review

NPPES record last updated: February 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol S Federiuk M.d. NPPES

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

CAROL S FEDERIUK M.D. (NPI 1447209028) is an individual sports medicine provider in Portland, Oregon, licensed in Oregon (16560) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1447209028
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameCAROL S FEDERIUKCredential: M.D.
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 418-1709
Phone(503) 418-1709
Sole ProprietorNo
Enumeration DateMay 9, 2006
Last NPPES UpdateFebruary 4, 2017
✔ NPI 1447209028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in OR · 16560
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License 16560 (OR)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License MD16560 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Other Identifiers 4

Medicare PINR116246
Medicaid287970OR
Medicare PINP00059907OR
Medicare UPINF30546

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 Carol Federiuk's NPI number?

The NPI number for Carol Federiuk is 1447209028. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Carol Federiuk located?

Carol Federiuk practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-1709.

What is Carol Federiuk's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Carol Federiuk was last updated on February 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.