Individual
DR. FAY E SEPPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1371 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-3785
(503) 769-3741
Mailing address
1371 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-3785
(503) 769-3741
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD26361
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005788
—
OR
Enumeration date
09/08/2005
Last updated
05/05/2011
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