Organization
FASA FAMILY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE EUGENE HESS (OWNER)
(360) 754-3338
Entity
Organization
Contact information
Practice address
1220 W 1ST ST, SUITE B, CENTRALIA, WA 98531-3018
(360) 736-4151
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(360) 338-0004
(360) 515-0744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/17/2014
Last updated
05/29/2025
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