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

Carolyn S Fairfax, MD

Individual provider Family Medicine Physician · NPI 1407839384

Carolyn S Fairfax, MD is a Family Medicine Physician in Grand Ronde, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone: (503) 879-2002
Fax: (503) 879-2071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5050 Skyline Village Loop S, Salem, OR 97306-9490 — (503) 391-1110

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD16107 (OR)

Record details

NPI number1407839384
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

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