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1477555175
CRAIG STEPHEN FAUSEL
PORTLAND, OR
NPI
1477555175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: OR MD13825)
Enumeration Date
2005-08-11
Last Update Date
2013-09-13
Business Address
-- CRAIG STEPHEN FAUSEL MD
1111 NE 99TH AVE SUITE 301
PORTLAND, OR 97220-9428
Phone number: 503-963-2707
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Mailing Address
-- CRAIG STEPHEN FAUSEL MD
847 NE 19TH AVE SUITE 300
PORTLAND, OR 97232-2684
Phone number: 503-963-2801
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