Individual provider Active NPI

Cathleen M O'Farrell, M.D.

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1942248976
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00031107 Issued in WA
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

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
170061MedicaidOR
1088673MedicaidWA

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

LicenseStateTypeSpecialty
MD00031107WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.