Most Relevant Information
Provider Data
| NPI Number: | 1003068933 |
| Provider Name: | JINNY A FARRAR PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA1402 |
Most Important Dates
| Enumeration Date: | 10/22/2008 |
| Last Updated: | 11/10/2020 |
Provider Practice Location
325 PARK ST
LEBANON
OR
973554229
Practice Location Phone/Fax
| Phone: | 5414517200 |
| Fax: | 5414517229 |
Provider Mailing Location
PO BOX 1193
CORVALLIS
OR
973391193
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |