Active NPI
Cathleen M O'Farrell, M.D.
- Family Medicine Physician
- Klamath Falls, OR
National Provider Identifier
1942248976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00031107
- Practice address
- 2074 S 6TH St
Klamath Falls, OR 97601 - Phone
- (541) 880-2011
- Fax
- (360) 260-2217
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00031107 | WA | Primary |
Addresses
Primary practice location
2074 S 6TH St
Klamath Falls, OR 97601
Mailing address
2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 880-2011
Other practice location 1
1000 SE Tech Center Drive
Vanvouver, WA 98683-5548
Phone (360) 260-2273
Other practice location 2
1000 SE Tech Center Drive
Vanvouver, WA 98683-5548
Phone (360) 260-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170061 | Medicaid | OR | |
| 1088673 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00031107 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Wellness Center | Family Medicine | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Past | Accepting new patients | |
| Seattle Primary Physicians, PLLC | Family Medicine | Past | Accepting new patients |
Locations
1000 SE Tech Center Dr
Ste 120
Vancouver, WA 98683
Phone (360) 260-2773
Interoperability endpoints
- cofarrell@pacificmedicalgroup.directbygreenway.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Vancouver, WA
- NPI 1669893533
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- Family Medicine Physician
- Seattle, WA
- NPI 1043255961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1942248976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2074 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976013372",
"telephone_number": "541-880-2011",
"fax_number": "360-260-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2074 S 6TH ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "97601",
"telephone_number": "541-880-2011",
"fax_number": "360-260-2217"
}
],
"practiceLocations": [
{
"address_1": "1000 SE Tech Center Drive",
"address_purpose": "LOCATION",
"city": "Vanvouver",
"state": "WA",
"postal_code": "986835548",
"country_code": "US",
"telephone_number": "360-260-2273",
"fax_number": "360-260-2217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 SE Tech Center Drive",
"address_purpose": "LOCATION",
"city": "Vanvouver",
"state": "WA",
"postal_code": "986835548",
"country_code": "US",
"telephone_number": "360-260-2273",
"fax_number": "360-260-2217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'FARRELL",
"first_name": "CATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00031107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170061",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1088673",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.