DR. Mark Jared Fast, O.D.

NPI #1831173590 in Salem, Oregon

Provider Information

NPI Number: 1831173590
Entity Type: Individual
Name: DR. Mark Jared Fast, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 5, 2005
Last Updated: Oct 13, 2016

Practice Location

Address: 3816 CENTER ST NE
City: Salem
State: Oregon
ZIP Code: 97301-2905
Phone: (503) 588-5513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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