JARED MICHAEL FAIRCHILD

PORTLAND, OR
NPI1245624980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  201605090CRNA-PP)
Enumeration Date2015-03-19
Last Update Date2019-05-28
Business Address
JARED MICHAEL FAIRCHILD CRNA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-4910
Mailing Address
JARED MICHAEL FAIRCHILD CRNA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 773-405-3545
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