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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROL S FEDERIUK, M.D.

Active

CAROL S FEDERIUK, M.D. is a Sports Medicine healthcare provider located in PORTLAND, Oregon. NPI 1447209028 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · PORTLAND, OR

Registration Details

NPI Number
1447209028
Provider Type
Individual
Gender
Female
NPI Issued
May 9, 2006 (20.221664738305 yrs)
Last Updated
Feb 4, 2017
Licenses
MD16560 (OR)
16560 (OR)
16560 (OR)

Practice Information

Address
3181 SW SAM JACKSON PARK RD
PORTLAND, OR, 972393011
Browse OR providers · Browse ZIP 97239
Phone
5034181709
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine
Additional Specialty
Sports Medicine (EM)

Other Sports Medicine Providers in PORTLAND, OR

Name Credential NPI
DR. DAVID N WESTERDAHL M.D. 1356305023
DR. DOUGLAS BRUCE MCKEAG MD, MS 1871558353
DR. RYAN CARL PETERING MD 1174793301
MELISSA ANNE NOVAK OTT DO 1952575391
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.