Individual
BENJAMIN HOLLAND FAIRBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601-1130
(541) 274-4611
Mailing address
2821 DAGGETT AVE STE 100, KLAMATH FALLS, OR 97601-1130
(541) 274-4611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG224966
OR
Other
Enumeration date
06/28/2021
Last updated
09/02/2025
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