Individual
FAYTH TAYLOR HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 NE PARK PLAZA DR, STE 100, VANCOUVER, WA 98684-5895
(360) 254-8025
(360) 254-8618
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5197-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1173753
NATIONAL COMMISSION OF CERTIFIED PHYSICIAN ASSISTANTS
—
Enumeration date
09/17/2020
Last updated
06/12/2025
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