Individual
MAY S FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 E CASCADE AVE, SISTERS, OR 97759-1140
(541) 382-4900
(541) 549-9683
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 317-4200
(541) 706-2398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16867
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012836
—
OR
01
—
P01187250
MEDICARE RAILROAD
OR
Enumeration date
08/31/2006
Last updated
01/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us