Individual
DR. NORA LOU FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10373 NE HANCOCK ST, SUITE 115, PORTLAND, OR 97220-3873
(503) 235-2833
(503) 853-8636
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD08834
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241182
—
OR
Enumeration date
10/18/2005
Last updated
04/29/2008
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