| Carolyn S Fairfax, MD | |
|
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
| (503) 879-2002 | |
| (503) 879-2071 |
| Full Name | Carolyn S Fairfax |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407839384 | NPI | - | NPPES |
| 076393 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD16107 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn S Fairfax, MD 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 | Carolyn S Fairfax, MD 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 |
Brianna Wing, NP, RN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 | |
Randall E Blome, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2015 | |
Lance Gregory Loberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 |