BRENT DAVID FARE

PORTLAND, OR
NPI1164049995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy242T00000X Perfusionist
(Licence: OR  080013)
Enumeration Date2020-06-27
Last Update Date2020-06-27
Business Address
BRENT DAVID FARE CCp
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1548
Mailing Address
BRENT DAVID FARE CCp
7241 SW 13TH DR
PORTLAND, OR 97219-2073
Phone number: 503-319-9457
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