Individual
CASSIDY FAULDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 SW MADISON AVE STE 120, CORVALLIS, OR 97333-4895
(407) 982-4876
(407) 650-2754
Mailing address
252 SW MADISON AVE STE 120, CORVALLIS, OR 97333-4895
(509) 551-8867
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
08/21/2025
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