Individual provider · Type 1 NPI
Glenn Albert Fairall
Technician/Technologist · Albany, OR
NPI number
1982169611
Active
Practice location
2532 NW Ashley Dr
Albany, OR 97321-1395
Mailing address
PO Box 741
Albany, OR 97321-0252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | 88193 (OR) |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
About NPI 1982169611
Glenn Albert Fairall's National Provider Identifier is 1982169611, issued on Feb 6, 2019. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Albany, OR. The record was last updated on Feb 6, 2019.