Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN S FAIRFAX, MD
ActiveCAROLYN S FAIRFAX, MD is a Family Medicine healthcare provider located in GRAND RONDE, Oregon. NPI 1407839384 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND RONDE, OR
Registration Details
- NPI Number
- 1407839384
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2005 (20.57930650478 yrs)
- Last Updated
- Jun 7, 2021
- License
-
MD16107 (OR)
Practice Information
- Address
-
9605 GRAND RONDE RDGRAND RONDE, OR, 973479712Browse OR providers · Browse ZIP 97347
- Phone
- 5038792002
- Fax
- 5038792071
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAND RONDE, OR
| Name | Credential | NPI |
|---|---|---|
| LANCE GREGORY LOBERG | MD | 1932180734 |
| RANDALL E BLOME | MD | 1861457384 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.