Individual
THATCHER THOMAS HARLAN FELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-3444
(509) 882-1097
Mailing address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 882-3444
(509) 882-1097
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OP00002003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8437725
CHPW
WA
05
—
8437725
—
WA
01
—
911019392
COMMERCIAL
—
Enumeration date
07/13/2005
Last updated
03/17/2021
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