Dondrae Fair Sr., CRM

Primary specialty

CounselorTaxonomy code 101Y00000X

License

14.CRM.008 Issued in OR

Practice address

3910 SE Stark St
Portland, OR 97214-3241

Phone

(503) 764-7445

NPI assigned

Sep 19, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Volunteers of America Inc.

  • Contractor
  • Portland, OR
  • NPI 1376611418
  NPD (past)
• Volunteers of America Oregon

  • Specialist
  • Portland, OR
  • NPI 1801298724
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1174925366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 SE STARK",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143241",
            "telephone_number": "503-764-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "DONDRAE",
        "name_suffix": "Sr.",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "14.CRM.008",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Faias
• Barbara Ann Failing, L.E. C.P.E.
• Marcelitte Theresa Failla, D.C.
• Nancy Failla, LMT
• Eric Fair-Layman, LMT; BA; MAT
• Kate Fair
• Kimberly Fairbanks
• Laura Cole Fairbanks, LCSW
• Emily Fairchild-Madar, LPC
• Jared Michael Fairchild, CRNA

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.