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Contact Information

ALBERT O FABIANO, MD
176 1ST AVE N
PO DRAWER N
ILWACO, WA98624
 Phone: 360-642-3747
 Fax: 360-642-3361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALBERT O FABIANO · (Male)

NPI Number 1912992405
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2005
Last updated 05/21/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00042733
  • WA Other 2855FA BCBS
  • WA Other 0184330 L & I
Hospital affiliation(s)
  • COLUMBIA MEMORIAL HOSPITAL - (Critical Access)
    2111 EXCHANGE STREET
    ASTORIA, OR 97103
  • OCEAN BEACH HOSPITAL - (Critical Access)
    174 FIRST AVENUE NORTH
    ILWACO, WA 98624
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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