Organization
BHC FAIRFAX HOSPITAL INC.
Active
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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