Individual
ANDREW FAIRRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11565 SW DURHAM RD STE 110, TIGARD, OR 97224-3553
(503) 639-0778
Mailing address
11565 SW DURHAM RD STE 110, TIGARD, OR 97224-3553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6112
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6112
OREGON BOARD OF CHIROPRACTIC
OR
Enumeration date
11/19/2020
Last updated
11/19/2020
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