CAROLYN S FAIRFAX (MD) – Family Medicine Physician, NPI 1407839384

Family Medicine Physician

CAROLYN S FAIRFAX (MD) is a healthcare provider. based in Salem, Oregon. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD16107 (OR). The NPI Number for CAROLYN S FAIRFAX (MD) is 1407839384

Main info

Female

38 Years Of Experience

Accepts Medicare Assignment

Name

CAROLYN S FAIRFAX (MD)

NPI

1407839384

Phone

(503) 391-1110

Address

5050 SKYLINE VILLAGE LOOP S

Enumeration Date

23 November 2005

Last Update Date

7 June 2021

Doctor Profile

Medical School Name

OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

5038792007

Graduation Year

1988 (38 years ago)

PAC ID

1052201134

Group Practice PAC ID

6103717277

Professional Enrollment ID

I20100108000316

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for CAROLYN S FAIRFAX (MD)

5050, Skyline Village Loop South, Sunnyslope, Liberty, Salem, Marion County, Oregon, 97306, United States
SALEM, OR 973069490
Phone: (503) 391-1110
Fax: (503) 370-4237
Type: Mailing
5050 Skyline Village Loop S
Salem, OR 973069490
Phone: (503) 391-1110
Fax: (503) 370-4237
Type: Location
9605 GRAND RONDE RD
GRAND RONDE, OR 973479712
Phone: (503) 879-2002
Fax: (503) 370-4237
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97306)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6103717277View full group profile

Name	Specialty	State
MR. MAURICE A AJAIFIA (PMHNP)	Nurse Practitioner	WA
DR. MARCEL MICHAEL TAM (MD, MBA)	-	OR
DENISE BELLA FELLOWS (LCSW)	Clinical Social Worker	OR
MS. WENDY MONETTE SCHMOLZI (APRN, FNP-C)	Nurse Practitioner	OR
ANNETTE N SAMPSON	Nurse Practitioner	OR
RODICA BUSUI (MD, PHD)	E N D O C R I N O L O G Y	OR
DR. CHRISTOPHER MICHAEL BROWN (MD)	Internal Medicine	OR
LAURA MICHIELSEN (PMHNP-BC)	Nurse Practitioner	MI
DEBORAH ANNE SAMOSON (NURSE PRACTITIONER)	Nurse Practitioner	TX
DEREK SCOTT KNOKE (FNP)	Nurse Practitioner	OR

Reviews

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Frequently asked questions

Can I verify CAROLYN S FAIRFAX (MD) with an NPI only?

You can start verification with NPI 1407839384 for CAROLYN S FAIRFAX (MD), then check state licensing separately.

Can I rely on CAROLYN S FAIRFAX (MD) being an active provider?

As of the registry snapshot, CAROLYN S FAIRFAX (MD) is marked active.

What healthcare role does CAROLYN S FAIRFAX (MD) hold?

Scheduling teams often label CAROLYN S FAIRFAX (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.

What address line appears for CAROLYN S FAIRFAX (MD)?

CAROLYN S FAIRFAX (MD)'s geographic hint is Salem, Oregon in our summary view.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.

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