Individual provider Active NPI

Linda Marie Farris, MD

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1376812156
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12079 Issued in OR
Practice address
2020 SW 4TH Ave
Suite 1000
Portland, OR 97201-4953
Phone
(503) 279-5200
Fax
(503) 279-5297
NPI assigned
Dec 22, 2011
Last updated
Dec 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12079 OR Primary

Addresses

Primary practice location

2020 SW 4TH Ave
Suite 1000
Portland, OR 97201-4953

Mailing address

2020 SW 4TH Ave
Suite 1000
Portland, OR 97201-4953
Phone (503) 279-5200

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

LicenseStateTypeSpecialty
12079ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1376812156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SW 4TH AVE",
            "address_2": "SUITE 1000",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014953",
            "telephone_number": "503-279-5200",
            "fax_number": "503-279-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SW 4TH AVE",
            "address_2": "SUITE 1000",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014953",
            "telephone_number": "503-279-5200",
            "fax_number": "503-279-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "12079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.