# HERITAGE BUILDING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PACIFIC COMPLEMENTARY HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023449006
- **Authorized official:** DR. RICHARD LOUIS FAIOLA M.D. (PRESIDENT)
- **Authorized official phone:** (360) 704-2362

## Contact information

- **Practice address:** 4001 HARRISON AVE NW, STE 102, OLYMPIA, WA 98502-5084
- **Practice address phone:** (360) 956-3627
- **Practice address fax:** (360) 350-1445
- **Mailing address:** 4001 HARRISON AVE NW, STE 102, OLYMPIA, WA 98502-5084
- **Mailing address phone:** (360) 740-0888
- **Mailing address fax:** (360) 350-1445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH00034866 | WA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | AC00000244 | WA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225700000X | Massage Therapist | MA60043686 | WA | — |

## Other

- **Enumeration date:** 12/02/2013
- **Last updated:** 04/01/2014