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Eric James Fasth
Student in an Organized Health Care Education/Training Program in Mcminnville, Oregon
NPI 1972002665

Eric James Fasth is a Student in an Organized Health Care Education/Training Program based in Mcminnville, OR. Eric James Fasth practices in Mcminnville, OR. The NPI Number for Eric James Fasth is 1972002665 and holds a License No. (Oregon).

The current practice location address for Eric James Fasth is 190 Sw Brumback St Unit 2035, Mcminnville, OR and can be reached out via phone at 208-943-1864. You can also correspond with Eric James Fasth through the mailing address at 664 SW TAFT ST, MCMINNVILLE, OR - 97128-6628 (mailing address contact number: ).

Location: 190 Sw Brumback St Unit 2035, Mcminnville, OR, 97128-6628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972002665
Provider Name
Eric James Fasth
Credential
Provider Entity Type
Individual
Gender
Male
Address
190 Sw Brumback St Unit 2035, Mcminnville, OR, 97128-6628
Phone Number
208-943-1864
Fax Number
Provider Enumeration Date
02/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 Sw Brumback St Unit 2035
City
Mcminnville
State
Oregon
Zip
97128-6899
Phone Number
208-943-1864
Fax Number
person
Provider Business Mailing Address Details
Address
664 Sw Taft St
City
Mcminnville
State
Oregon
Zip
97128-6628
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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