Individual
BLAKE V FAUSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2550 WILLAKENZIE RD, EUGENE, OR 97401-7865
(541) 434-0922
(541) 434-4369
Mailing address
2550 WILLAKENZIE RD, EUGENE, OR 97401-7865
(541) 434-0922
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01073972A
IN
207W00000X
Ophthalmology Physician
35123349
OH
207W00000X
Ophthalmology Physician
TP636
KY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
MD175770
OR
Other
Enumeration date
07/07/2009
Last updated
04/25/2025
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