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Organization

BHC FAIRFAX HOSPITAL INC.

Active
Other names
Fairfax Physician Group
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY TRACHTE (BUSINESS OFFICE DIRECTOR)
(425) 284-1708
Entity
Organization

Contact information

Practice address
10200 NE 132ND ST, KIRKLAND, WA 98034-2831
(425) 821-2000
Mailing address
10200 NE 132ND ST, KIRKLAND, WA 98034-2831
(425) 821-2000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7104326
WA
05
7159908
WA
Enumeration date
03/13/2007
Last updated
12/12/2011
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