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Organization

ACCIDENT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARREN FAHERTY (OWNER)
(503) 256-3180
Entity
Organization

Contact information

Practice address
5904 NE FOURTH PLAIN BLVD, SUITE 101, VANCOUVER, WA 98661-6983
(360) 696-8888
(360) 326-9556
Mailing address
5904 NE FOURTH PLAIN BLVD, SUITE 101, VANCOUVER, WA 98661-6983
(360) 696-8888
(360) 326-9556

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60389514
WA

Other

Enumeration date
11/14/2013
Last updated
11/14/2013
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