NPI 1225812563 · live from the CMS NPI Registry
Sean Fairbairn, BSN RN CNOR RNFA
Registered Nurse, Registered Nurse First Assistant in Medford, OR. National Provider Identifier 1225812563, active.
NPI record
| NPI | 1225812563 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 1111 Crater Lake Ave, Medford, OR 97504 |
| Practice phone | 541-301-6325 |
| Mailing address | 2986 Seckel St, Medford, OR 97504 |
| Enumerated | August 18, 2023 |
| Last updated | August 18, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 201706664RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.