Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn Albert Fairall

Individual provider Technician/Technologist · NPI 1982169611

Glenn Albert Fairall is a Technician/Technologist in Albany, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
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Practice location Address checks out

2532 NW Ashley Dr
Albany, OR 97321-1395
Phone: (541) 979-1019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X · Licence 88193 (OR)

Record details

NPI number1982169611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2019
Last updated in NPPESFebruary 6, 2019