Individual
DR. THOMAS M FAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2650 SUZANNE WAY 120, EUGENE, OR 97408-7619
(541) 345-2800
(541) 345-4419
Mailing address
2650 SUZANNE WAY 120, EUGENE, OR 97408-7619
(541) 345-2800
(541) 345-4419
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
722
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810573161
CLINIC TAX ID
OR
01
—
844704003
REGENCE BCBSO PROV NO
OR
Enumeration date
05/07/2007
Last updated
02/07/2017
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