Individual
GAIL FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 696-4061
Mailing address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 696-4061
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
33780981
WA
251B00000X
Case Management Agency
Primary
4028798
WA
253J00000X
Foster Care Agency
4054878
WA
385H00000X
Respite Care
60167155
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174915151
PATHOLOGY
WA
01
—
140-239
ICD-9-CM
WA
01
—
390-459
ICD-9CM
WA
01
—
680-709
ICD-9CM
WA
01
—
740-759
ICD-9CM
WA
01
—
C100, C200, C300
COUNSELING
WA
01
—
C400
COUNSELING
WA
01
—
CEDC
EMERGENCY DEPARTMENT
WA
01
—
CEMC
EVALUATION AND MANAGEMENT
WA
01
—
CFPC
FAMILY PRACTICE
WA
01
—
CHONC
HEMATOLOGY AND ONCOLOGY
WA
01
—
CIMC
INTERNAL MEDICINE
WA
01
—
L100, L300, A100
CASE ASSESSMENT, DEVELOPMENT, AND ADMINISTRATION
WA
01
—
P100, P300
STRUCTURE, STRATEGY, ANALYSIS
WA
01
—
T1015
CLINIC SERVICE
WA
Enumeration date
02/27/2015
Last updated
01/14/2017
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