Individual
DR. JAIME ERIN FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3355 RIVERBEND DR STE 240, SPRINGFIELD, OR 97477-8800
(541) 687-1712
(541) 687-7943
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD177473
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500683461
—
OR
Enumeration date
06/24/2011
Last updated
07/21/2022
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