Fawcett, Richard W

Fawcett, Richard W is an individual health care provider with primary practice located at 333 Nw Larch Ave Ste 2, Redmond OR 97756-1186. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Fawcett, Richard W can be contacted via phone (541) 548-3153.

Contact Information

Primary practice address
333 Nw Larch Ave Ste 2 Redmond OR 97756-1186
Phone: (541) 548-3153
Fax: (541) 548-3376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X MD23347 Oregon
Other Service Providers / Specialist 174400000X MD23347 Oregon

Profile Details

NPI number 1124056494
LBN Legal business name Fawcett, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 10th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124056494 NPPES
Oregon MEDICAID 287298
Oregon Other 1124056494

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