Individual
ERIC FAIR-LAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT; BA; MAT
Contact information
Practice address
905 SE ANKENY ST, PORTLAND, OR 97214-1349
(971) 236-7610
Mailing address
905 SE ANKENY ST, PORTLAND, OR 97214-1349
(971) 236-7610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19568
OR
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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