GLENN ALBERT FAIRALL NPI 1982169611

NPI Information

  • NPI: 1982169611
  • Provider Name: GLENN ALBERT FAIRALL
  • Classification: Technician/Technologist - 156F00000X
  • Entity Type: Individual
  • Address: 2532 NW ASHLEY DR
    ALBANY, OR
    ZIP 97321
  • Phone: (541) 979-1019

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NPI Details

Glenn Albert Fairall is a technician technologist in Albany, OR. The provider is a broad category grouping different kinds of technologists and technicians. See individual definitions. Glenn Albert Fairall NPI is 1982169611. 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:

2532 NW ASHLEY DR
ALBANY, OR
ZIP 97321-395
Phone: (541) 979-1019

The enumeration date for this NPI number is 2/6/2019 and was last updated on 2/6/2019.

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
1156F00000XTechnician/Technologist88193OREGONYes

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

NPI Synchronization or Removal

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