ERIC JAMES FASTH NPI 1972002665

NPI Information

Eric James Fasth is a student in an organized health care education training program in Mcminnville, OR. The provider is 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. Eric James Fasth NPI is 1972002665. 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:

190 SW BRUMBACK ST UNIT 2035
MCMINNVILLE, OR
ZIP 97128-899
Phone: (208) 943-1864

The enumeration date for this NPI number is 2/8/2018 and was last updated on 2/8/2018.

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:

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