Individual
DR. DIANE A. FARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSONAVE, TACOMA, WA 98431-2306
(808) 523-8461
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD-7953
HI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD-7953
HI
Other
Enumeration date
07/06/2007
Last updated
07/06/2020
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