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

RONALD D FARRIS, DDM, LD

Active Sole Proprietor

RONALD D FARRIS, DDM, LD is a 122400000X healthcare provider located in GRESHAM, Oregon. NPI 1952584237 is currently active in the NPPES registry. Verify at CMS.

122400000X · GRESHAM, OR

Registration Details

NPI Number
1952584237
Provider Type
Individual
Gender
Male
NPI Issued
Dec 10, 2007 (18.496237612786 yrs)
Last Updated
Dec 10, 2007
License
DT-DO-605320 (OR)
Sole Proprietor
Yes

Practice Information

Address
21511 SE STARK ST
GRESHAM, OR, 970302025
Browse OR providers · Browse ZIP 97030
Phone
5036661698
Fax
5036667734
Primary Specialty
122400000X
122400000X

Other 122400000X Providers in GRESHAM, OR

Name Credential NPI
MELANIE J BLOCK LD 1356406342
DAVID PETTIT 1124620802
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.