CRAIG STEPHEN FAUSEL MD NPI 1477555175

NPI Information

  • NPI: 1477555175
  • Provider Name: CRAIG STEPHEN FAUSEL, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 1111 NE 99TH AVE
    SUITE 301
    PORTLAND, OR
    ZIP 97220
  • Phone: (503) 963-2707

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NPI Details

Craig Stephen Fausel, MD is a gastroenterology internal medicine in Portland, OR. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Craig Stephen Fausel, MD NPI is 1477555175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 NE 99TH AVE
SUITE 301
PORTLAND, OR
ZIP 97220-428
Phone: (503) 963-2707
Fax: (503) 963-2802

The enumeration date for this NPI number is 8/11/2005 and was last updated on 9/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyMD13825OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1109985MEDICARE ID-TYPE UNSPECIFIEDOREGON
2C91293MEDICARE UPINOREGON
3213124MEDICAIDOREGON
48599805MEDICAIDWASHINGTON
5100006296MEDICARE PINOREGON
6143480MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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