Carolyn S Fairfax, MD

NPI #1407839384 in Grand Ronde, Oregon

Provider Information

NPI Number
1407839384
Entity Type
Individual
Name
Carolyn S Fairfax, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Nov 23, 2005
Last Updated
Jun 7, 2021

Practice Location

Address
9605 GRAND RONDE RD
State
Oregon
ZIP Code
97347-9712
Phone
(503) 879-2002

Specialties & Taxonomy Codes

Specialty
Family Medicine

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