Individual
ROSS CLIFTON FAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC/L, CEAS
Contact information
Practice address
18411 22ND DR SE, BOTHELL, WA 98012-6972
(602) 909-7185
Mailing address
18411 22ND DR SE, BOTHELL, WA 98012-6972
(602) 909-7185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160215545
WA
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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