Individual provider · Type 1 NPI

Brent David Fare, CCP

Perfusionist · Portland, OR

NPI number 1164049995 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

7241 SW 13th Dr
Portland, OR 97219-2073

Specialties and licenses

TaxonomyCodeLicense
Perfusionist Primary 242T00000X080013 (OR)

Perfusionist: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the …

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About NPI 1164049995

Brent David Fare, CCP's National Provider Identifier is 1164049995, issued on Jun 27, 2020. The primary taxonomy on file is Perfusionist (242T00000X), and the practice location is in Portland, OR. The record was last updated on Jun 27, 2020.