Individual
MR. GREGORY SCOTT FAHLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 962-9289
Mailing address
1358 W LOCUST ST, STAYTON, OR 97383-1196
(503) 716-0498
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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