Fairley, Nora Lou
Fairley, Nora Lou is an sole proprietor health care provider with primary practice located at 10373 Ne Hancock St Suite 115, Portland OR 97220-3873. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Fairley, Nora Lou can be contacted via phone (503) 235-2833.Contact Information
Primary practice address
10373 Ne Hancock St Suite 115
Portland OR 97220-3873
Phone: (503) 235-2833
Fax: (503) 853-8636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD08834 | Oregon |
Profile Details
| NPI number | 1861481285 |
|---|---|
| LBN Legal business name | Fairley, Nora Lou |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Apr 29th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861481285 | NPPES |
| Oregon | MEDICAID | 241182 |
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