Individual provider · Type 1 NPI
Chad Douglas Fashant, L.M.P.
Specialist · Federal Way, WA
NPI number
1871701169
Active
Practice location
1612 SW Dash Point Rd
Federal Way, WA 98023-4530
Fax (253) 835-7342
Mailing address
17041 34th Ave S
Seatac, WA 98188-4449
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00017855 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1871701169
Chad Douglas Fashant, L.M.P.'s National Provider Identifier is 1871701169, issued on May 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Federal Way, WA. The record was last updated on Jul 8, 2007.