Individual
DR. TROY T FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4194
(541) 812-4415
Mailing address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4194
(541) 812-4415
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO18699
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215265
WASHINGTON L & I
—
01
—
059297000
BCBS
OR
05
—
071709
—
OR
05
—
8467961
—
WA
01
—
8943179
WA CRIME VICTIMS
—
01
—
F81049
GROUP HEALTH
—
01
—
J200012
PACIFIC SOURCE
—
01
—
P00387473
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
04/09/2013
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