Organization
FASA FAMILY WELLNESS, PLLC
Active
Other names
Ankle & Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE EUGENE HESS (OWNER)
(360) 754-3338
Entity
Organization
Contact information
Practice address
1114 BROADWAY ST, LONGVIEW, WA 98632-3842
(360) 577-3682
(360) 577-1871
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(360) 577-3682
(360) 577-1871
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000488
WA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/24/2005
Last updated
05/29/2025
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