Organization · Type 2 NPI
Fairhaven Family Medicine PS
Multi-Specialty Clinic/Center · Burlington, WA
NPI number
1740425685
Active
Practice location
1030 E Fairhaven Ave
Burlington, WA 98233-2006
Fax (360) 755-1272
Mailing address
PO Box 468
Burlington, WA 98233-0468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | MD00013642 (WA) |
| Multi-Specialty Clinic/Center | 261QM1300X | MD00023548 (WA) |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1740425685
Fairhaven Family Medicine PS's National Provider Identifier is 1740425685, issued on Dec 5, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Burlington, WA. The record was last updated on Sep 15, 2010.