Organization
FADER PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH FADER DO (MEMBER/OWNER)
(425) 301-8190
Entity
Organization
Contact information
Practice address
2513 152ND AVE NE, REDMOND, WA 98052-5574
(425) 301-8190
Mailing address
PO BOX 1281, BELLEVUE, WA 98009-1281
(425) 301-8190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604544384
STATE UBI
WA
Enumeration date
01/05/2021
Last updated
01/05/2021
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