Provider Demographics
NPI:1861543373
Name:FARRER, ANNA MARIE (DC)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:MARIE
Last Name:FARRER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 662
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-0662
Mailing Address - Country:US
Mailing Address - Phone:503-826-1400
Mailing Address - Fax:503-826-1411
Practice Address - Street 1:37587 HIGHWAY 26
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-9301
Practice Address - Country:US
Practice Address - Phone:503-826-1400
Practice Address - Fax:503-826-1411
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3738111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor