Brent David Fare, CCP
Brent David Fare, CCP is a Perfusionist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
3181 SW Sam Jackson Park RdPortland, OR 97239-3011
Phone: (503) 494-1548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X · Licence 080013 (OR) |
|---|
Record details
| NPI number | 1164049995 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCP |
| Sole proprietor | Yes |
| NPI enumerated | June 27, 2020 |
| Last updated in NPPES | June 27, 2020 |
| Certification date | June 27, 2020 |
| Mailing address | 7241 Sw 13th Dr, Portland, OR 97219-2073 |
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