Individual
MR. FAYEZ A. BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MISSION ST. SE, SALEM, OR 97302-6217
(503) 588-3945
(503) 588-0256
Mailing address
801 MISSON ST. SE, SALEM, OR 97302-6217
(503) 588-3945
(503) 588-0256
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD27656
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD27656
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24ZZ02
—
OR
Enumeration date
06/19/2007
Last updated
04/13/2009
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