Individual provider · Type 1 NPI

Carol S. Federiuk, MD

Sports Medicine (Family Medicine) Physician · Portland, OR

NPI number 1447209028 Active

Practice location

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

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician	207XX0005X	MD16560 (OR)
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	16560 (OR)
Sports Medicine (Emergency Medicine) Physician	207PS0010X	16560 (OR)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1447209028

Carol S. Federiuk, MD's National Provider Identifier is 1447209028, issued on May 9, 2006. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Portland, OR. The record was last updated on Feb 4, 2017.