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

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

Practice location Address checks out

2532 NW Ashley Dr
Albany, OR 97321-1395
Phone: (541) 979-1019
Show map & directions

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
Mailing addressPo Box 741, Albany, OR 97321-0252