Individual
JEANNE BIRES FARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6511 NE 18TH ST, VANCOUVER, WA 98661-6869
(360) 759-4917
(360) 759-4921
Mailing address
904 FRIEDEL AVE, VANCOUVER, WA 98664-1732
(360) 906-1357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8415317
—
WA
Enumeration date
05/24/2007
Last updated
07/09/2007
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