Individual
MARY Y FAJER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT OCS
Contact information
Practice address
4677 COMMERCIAL ST SE, SALEM, OR 97302-1901
(503) 585-5131
(503) 585-4065
Mailing address
PO BOX 12686, SALEM, OR 97309-0686
(503) 540-8701
(503) 371-8772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2625
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207105
—
OR
Enumeration date
01/05/2006
Last updated
12/19/2011
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