Individual
HOLLY ILENA FABER TSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 NE 139TH ST, STE 202, VANCOUVER, WA 98685-2513
(360) 566-9355
(360) 816-1327
Mailing address
2501 NE 134TH STREET, STE 200, VANCOUVER, WA 98686
(360) 566-9355
(360) 816-1327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD26913
OR
207R00000X
Internal Medicine Physician
Primary
MD60266119
WA
208000000X
Pediatrics Physician
MD26913
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241816
—
OR
Enumeration date
10/19/2006
Last updated
05/26/2015
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