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Contact Information

LOIC J FABRICANT, MD
3355 RIVERBEND DR STE 300
SPRINGFIELD, OR97477-8800
 Phone: 541-868-9303
 Fax: 541-868-9306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LOIC J FABRICANT · (Male)

NPI Number 1790945418
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2008
Last updated 08/31/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD166346
  • WA License # MD61183692
  • OR Medicaid 500654931
Hospital affiliation(s)
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
  • PEACHEALTH ST JOHN MEDICAL CENTER - (Acute Care)
    1615 DELAWARE STREET
    LONGVIEW, WA 98632
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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