MATTHEW JOSEPH FARRELL (NPI# 1972019552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972019552 |
| Entity Type | Individual |
| Full Name | MATTHEW JOSEPH FARRELL |
| Practice Address |
9205 Sw Barnes Rd Ste Mt2800 Portland OR 97225 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032162621 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034948311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008155 | Matthew Farrell | Peer Specialist | 22496 Valleybrook Ln, Strongsville, OH 44149-2987 | 2020-06-22 |
| 1134574866 | Matthew Farrell | Counselor | 119 Leighton Dr Apt D, Thibodaux, LA 70301-8435 | 2016-05-02 |
| 1376782094 | Matthew James Farrell | Family Medicine | 240 Market St, New Albany, OH 43054-7095 | 2009-02-19 |
| 1528084217 | Matthew Farrell | Family Medicine | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2006-07-14 |
| Street Address |
9205 SW BARNES RD STE MT2800 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124403860 | Danielle M Williamson | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225-6603 | 2015-07-23 |
| 1528625878 | Timothy Duh | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225-6603 | 2019-05-22 |
| 1891350492 | Tuan Pham | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225-6603 | 2019-05-08 |
| 1467017046 | Joanna M Bove | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225-6603 | 2019-05-08 |
| 1528623105 | Robert X Fu | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225-6603 | 2019-05-08 |
| 1073178653 | Nathan R Zvejnieks | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225-6603 | 2019-05-08 |
| 1669963716 | Joshua Genstler | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225 | 2018-05-24 |
| 1316438468 | Richard Cam | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225 | 2018-05-24 |
| 1114417888 | Daphne A Sy | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225-6603 | 2018-05-17 |
| 1861982530 | Boris M Rozenberg | Student in an Organized Health Care Education/Training Program | 9205 Sw Barnes Rd Ste Mt2800, Portland, OR 97225 | 2018-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
| 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.