Individual
AMBER FAAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 NE MEDICAL CENTER DR, BEND, OR 97701-6061
(541) 382-6633
(541) 382-2719
Mailing address
1460 NE MEDICAL CENTER DR, BEND, OR 97701-6061
(541) 382-6633
(541) 382-2719
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD197762
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD197762
MEDICAL LICENSE
OR
Enumeration date
06/25/2013
Last updated
03/02/2023
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