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Individual

DR. DARREN FAHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5904 NE FOURTH PLAIN BLVD STE 101, VANCOUVER, WA 98661-6983
(360) 696-8888
Mailing address
5904 NE FOURTH PLAIN BLVD STE 101, VANCOUVER, WA 98661-6983
(360) 696-8888

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60370921
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1690024769
ANTHEM
Enumeration date
09/03/2008
Last updated
09/06/2013
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