Active NPI
Bruce Farmer, MD, M.D.
- Mechanotherapist
- Hillsboro, OR
National Provider Identifier
1174903207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 1001988
- Practice address
- 3637 NW John Olsen PL
Hillsboro, OR 97124-5815 - Phone
- (503) 521-7470
- NPI assigned
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 1001988 | OR | Primary |
| Mechanotherapist | 172M00000X | 1405674 | AZ |
Addresses
Primary practice location
3637 NW John Olsen PL
Hillsboro, OR 97124-5815
Mailing address
3637 NW John Olsen PL
Hillsboro, OR 97124-5815
Phone (503) 521-7470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1405674 | AZ | MD | Mechanotherapist |
| 1001988 | OR | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1174903207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 NW JOHN OLSEN PL",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245815",
"telephone_number": "503-521-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 NW JOHN OLSEN PL",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245815",
"telephone_number": "503-521-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER, MD",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "1001988",
"primary": true
},
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "AZ",
"license": "1405674",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.