Ailene Joyce Farkac, MSW, PSS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3311 NE Martin Luther King Jr Blvd Ste 104
Portland, OR 97212-2086

Phone

(503) 206-8856

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1356973945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17155 SW BLANTON ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970781829",
            "telephone_number": "541-255-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 NE MARTIN LUTHER KING JR BLVD STE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122086",
            "telephone_number": "503-206-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARKAC",
        "first_name": "AILENE",
        "middle_name": "JOYCE",
        "credential": "MSW, PSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mindsolutions.reliatrax.net/",
            "affiliation": "N",
            "endpointDescription": "SFTP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3311 NE Martin Luther King Jr Blvd Ste 104",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972122086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lucrecia Farias
• Maryam Armin Farinola, M.D.
• Brooks Briasson Faris II
• Charlotte Kathleen Faris, LMT
• Kevin Faris, LMT
• Lisa June Farkouh, MD
• Jennifer R Farley, MD
• Kathleen Marie Farley, B.A.
• Paige Farley, MD
• Summer Farley

• Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.