KENDRA HIGGINS FARRIS


Address: 2801 N Gantenbein Ave, Pediatric Development & Rehabilitation Program, Portland, OR 97227-1623
Phone: 5034134505

KENDRA HIGGINS FARRIS (NPI# 1184704363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184704363
Entity Type Individual
Full Name KENDRA HIGGINS FARRIS
Other Name KENDRA LEE HIGGINS
Credential MD
Practice Address 2801 N Gantenbein Ave
Pediatric Development & Rehabilitation Program
Portland
OR 97227-1623
Mailing Address 3795 Sw Chehalem Ave
Portland
OR 97239-1592
Practice Telephone 5034134505
Practice Fax Number 5034134719
Mailing Telephone 5032275762
Enumeration Date 2006-10-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
MD14745 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 2801 N GANTENBEIN AVE
PEDIATRIC DEVELOPMENT & REHABILITATION PROGRAM
City PORTLAND
State OR
Zip Code 97227-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027198 James P Mccord Pediatrics 2801 N Gantenbein Ave, Portland, OR 97227-1623 2005-07-20
1225639040 Lina Rossetti-grulich Nurse Practitioner 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-11-06
1033722673 Karen Bronson Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-08-24
1356969331 Sandy Hammer Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-07-07
1225673999 Odaisa Igwe Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-11-16
1952945578 Julie Lorine Hoover Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-11-06
1285278648 Kate Harrell Unterberger Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-29
1780227082 Keegan Carly Fritzke Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-21
1578106860 Corinne Frohlick Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-20
1386287662 Aimee Breitfelder Reddy Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1730615071 Mehran Giblin Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 2017-05-05
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
1407300205 Jenna Abernathy Counselor 3537 N Williams Ave, Portland, OR 97227 2016-08-09
1215390760 Tanya Marie Woods Massage Therapist 3808 N. Williams Ave., Portland, OR 97227 2016-04-01
1033596853 Eric Allen Martin Counselor 2054 N. Vancouver Ave, Portland, OR 97227 2015-04-30
1285040436 Berk Neurosurgical LLC Neurological Surgery 501 N Graham St Ste 500, Portland, OR 97227 2014-07-09
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477616845 Charlene Sabin Pediatrics 5441 Sw Macadam Ave Ste 200, Portland, OR 97239-3822 2006-12-18
1285604173 Donna K Kirchoff Pediatrics 1675 Sw Marlow Ave, Ste 200, Portland, OR 97225-5104 2006-01-24
1023454089 Samantha Dunn Pediatrics 1577 Congress St, Portland, ME 04102-2169 2013-05-17
1114116969 Michele Raddish Pediatrics 830 Ne 47th Ave, Providence Neurodevelopmental Center for Children, Portland, OR 97213 2007-10-17
1457579914 Gisela Porras Serna Pediatrics 2801 N Gantenbein Ave Ste 2225, Portland, OR 97227-1623 2007-04-23
1568680239 Martine Richardson Sacks Pediatrics 830 Ne 47th Ave, Portland, OR 97213-2212 2007-04-20
1598834533 David W Willis Pediatrics 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225-5104 2006-11-06
1124115936 Mary Lynn O'brien Pediatrics 3600 N Interstate Ave, Portland, OR 97227-1106 2006-10-05
1164517454 James N Powell Pediatrics 3600 N Interstate Ave, Portland, OR 97227-1106 2006-10-04
1508963380 Robin Nemer Mccoy Pediatrics 707 Sw Gaines St, Portland, OR 97239-2901 2006-09-20
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Competitor

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City PORTLAND
Zip Code 97227

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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