Individual
MARK FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
(509) 865-5783
Mailing address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
(509) 865-5783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00026408
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22556
GROUP HEALTH
—
01
—
44539
L & I
WA
01
—
8130510
CHPW
WA
05
—
8130510
—
WA
01
—
911019392
COMMERCIAL
—
01
—
FA6987
REGENCE
WA
Enumeration date
10/05/2006
Last updated
03/17/2021
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