Ember Sho'Le Farnam-Alavi, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

465100 Issued in OR

Practice address

1815 NW 169TH PL Ste 3070
Beaverton, OR 97006-7368

Phone

(971) 249-2653

NPI assigned

Apr 15, 2022

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

Other names 1

• Ember Sho'Le Farnam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bold Pediatric Therapy Center Inc

  • Occupational Therapist
  • Beaverton, OR
  • NPI 1366964538
  NPD (past)

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1437892619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15584 SW SCHOLLS FERRY RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079276",
            "telephone_number": "541-519-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 NW 169TH PL STE 3070",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067368",
            "telephone_number": "971-249-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNAM-ALAVI",
        "first_name": "EMBER",
        "middle_name": "SHO'LE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "465100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMBER",
            "last_name": "FARNAM",
            "middle_name": "SHO'LE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa A Fargo, LMT
• Noha Farhat
• Salma Faris, PA-C
• Hannah Farmer
• Melodie Farmer
• Stephanie K Farrell, ND
• Amber Leigh Farris, CCC-SLP
• Treonnie Rashae Farris
• Mika Fauke
• Rebecca Faulkner, APRN

• Pediatric Occupational Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.