DR. KATHLEEN ROSE FARRELL (NPI# 1720051998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720051998 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN ROSE FARRELL |
| Credential | D.O. |
| Practice Address |
4531 Se Belmont St Suite 100 Portland OR 97215-1675 |
| Mailing Address |
4531 Se Belmont St Ste 100 Portland OR 97215-1675 |
| Practice Telephone | 5032159823 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
DO16024 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 018551 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386153096 | Kathleen Ann Farrell | Specialist | 213 Holly Ln, Smithtown, NY 11787-4430 | 2017-09-26 |
| 1356655369 | Kathleen Lois Farrell | Registered Nurse | 143-55 226th Street, Laurelton, NY 11413 | 2010-08-02 |
| 1548584089 | Kathleen Farrell | Physical Therapist | 350 Pythian Rd, Santa Rosa, CA 95409-6368 | 2010-03-25 |
| 1184848178 | Kathleen Farrell | Speech-Language Pathologist | 1243 E Cavalry Rd, New River, AZ 85087-8680 | 2007-04-12 |
| 1285635086 | Kathleen Marian Farrell | Family Medicine | 808 N 5th Ave, Sequim, WA 98382-3045 | 2005-08-03 |
| 1356872675 | Kathleen Farrell | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Dhmc Department of Ob/gyn, Lebanon, NH 03756-1000 | 2017-03-27 |
| 1326491960 | Kathleen Farrell | Pharmacist | 931 Conklin St Ste D, Farmingdale, NY 11735-2429 | 2016-07-19 |
| 1215362686 | Kathleen Farrell | Counselor | 1960 N Lincoln Park W, Apt. 2312, Chicago, IL 60614-5487 | 2013-09-04 |
| 1841507217 | Kathleen Mary Farrell | Speech-Language Pathologist | 3651 Richmond Rd, Staten Island, NY 10306-1434 | 2010-09-08 |
| 1700110103 | Kathleen Farrell | Nurse Practitioner | 1005 Poplar St, Murray, KY 42071-2436 | 2009-10-01 |
| Street Address |
4531 SE BELMONT ST SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328664 | Edyth Adele Willard | Pharmacist | 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 | 2005-06-30 |
| 1538767223 | Silvia Gozzini | Marriage & Family Therapist | 4531 Se Belmont St, Portland, OR 97215-1699 | 2020-10-14 |
| 1427582865 | Brandy Halprin | Social Worker | 4531 Se Belmont St, Portland, OR 97215-1675 | 2017-04-12 |
| 1992256762 | Suzanne Bernard | Health Maintenance Organization | 4531 Se Belmont St, Portland, OR 97215-1675 | 2016-10-17 |
| 1396296182 | Jean Rossetto | Registered Nurse | 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 | 2016-10-17 |
| 1487100285 | Ruth Jenkins | Speech-Language Pathologist | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2016-08-31 |
| 1801249792 | Catherine Dunn | Registered Nurse | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2016-07-15 |
| 1023468980 | Anne Forester | Registered Nurse | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2016-06-21 |
| 1750731444 | Diana Lynn Mcdougal | Physical Therapy Assistant | 4531 Se Belmont St, Portland, OR 97215-1675 | 2016-06-14 |
| 1558711234 | Kristine Marie Krautscheid | Occupational Therapy Assistant | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093916470 | Kellie Rooney Foster | Internal Medicine | 2710 Nw Vaughn St, Suite 160, Portland, OR 97210-5344 | 2007-05-31 |
| 1447310859 | Karen Kruse | Internal Medicine | 8200 Se Barbara Welch Rd, Portland, OR 97236-5335 | 2006-12-08 |
| 1083729214 | Stephen Arnold Ebert | Internal Medicine | 2701 Nw Vaughn St., Suite 160, Portland, OR 97201 | 2006-08-20 |
| 1609892736 | Paul Gowen | Internal Medicine | 3635 Ne Alameda St, Portland, OR 97212-1812 | 2006-07-14 |
| 1669418810 | Douglas Reed Grossnickle | Internal Medicine | 10373 Ne Hancock, Suite 219, Portland, OR 97220 | 2006-06-22 |
| 1457324949 | George Goodstein | Internal Medicine | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2006-02-07 |
| 1497757447 | Luis Felipe Rodriguez | Internal Medicine | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2005-08-10 |
| 1518372606 | Paul R Porter Md | Internal Medicine | 934 S Broadway St, Ste 3, Portland, TN 37148-1700 | 2014-06-26 |
| 1093128571 | Lisa Kendell Sanders | Internal Medicine | 5050 Ne Hoyt St Ste 540, Portland, OR 97213 | 2014-06-03 |
| 1457642373 | Sandhya Venkata Srikantom | Internal Medicine | 3710 Sw Us Veterans Hospital Rd, Attn P3med, Portland, OR 97239-2964 | 2011-04-26 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.