Individual provider · Type 1 NPI

Eric James Fasth

Student in an Organized Health Care Education/Training Program · Mcminnville, OR

NPI number 1972002665 Active

Practice location

190 SW Brumback St Unit 2035
Mcminnville, OR 97128-6899

Call (208) 943-1864 Map

Mailing address

664 SW Taft St
Mcminnville, OR 97128-6628

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1972002665

Eric James Fasth's National Provider Identifier is 1972002665, issued on Feb 8, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mcminnville, OR. The record was last updated on Feb 8, 2018.