Individual
MICHAEL JAMES FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
301 W CENTRAL AVE, SUTHERLIN, OR 97479-8404
(541) 459-6111
(541) 459-6111
Mailing address
301 W CENTRAL AVE, SUTHERLIN, OR 97479-8404
(541) 459-6111
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-533729
OR
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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