Individual provider Active NPI

Cindi Louise Farnstrom, PNP

  • Pediatric Nurse Practitioner
  • Portland, OR
National Provider Identifier
1790790210
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
200550072NP Issued in OR
Practice address
1130 NW 22ND Ave Ste 320
Portland, OR 97210-2970
Phone
(503) 295-2546
Fax
(503) 790-1248
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 200550072NP OR Primary

Addresses

Primary practice location

1130 NW 22ND Ave Ste 320
Portland, OR 97210-2970

Mailing address

1130 NW 22ND Ave Ste 320
Portland, OR 97210-2970
Phone (503) 295-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070505000122 OR Practitioner - Nurse Practitioner 1658477781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Pediatric Clinic LLC CurrentSince Oct 9, 2017 Accepting new patients
Metropolitan Pediatrics, LLC Pediatrics PastSince Jun 8, 2025 Accepting new patients

Locations

6125 NE Cornell Rd
Ste 240
Hillsboro, OR 97124
Phone (503) 640-2757

445 E Main St
Hillsboro, OR 97123
Phone (503) 640-2757

Interoperability endpoints

  • Direct secure messaging: cfarnstrom816620@direct.lhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1790790210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102970",
            "telephone_number": "503-295-2546",
            "fax_number": "503-790-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102970",
            "telephone_number": "503-295-2546",
            "fax_number": "503-790-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSTROM",
        "first_name": "CINDI",
        "middle_name": "LOUISE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "200550072NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.