Eric James Fasth

NPI #1972002665 in Mcminnville, Oregon

Provider Information

NPI Number
1972002665
Entity Type
Individual
Name
Eric James Fasth
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Feb 8, 2018
Last Updated
Feb 8, 2018

Practice Location

Address
190 SW BRUMBACK ST UNIT 2035
State
Oregon
ZIP Code
97128-6899
Phone
(208) 943-1864

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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