Individual
TEIGHLYANN MARIE FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
933 NW 25TH AVE, PORTLAND, OR 97210-2829
(503) 525-0090
Mailing address
933 NW 25TH AVE, PORTLAND, OR 97210-2829
(503) 525-0090
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
114715
OR
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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