Individual
LINDA M FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
Mailing address
1100 OLIVE WAY, MS: M4-PFS, SEATTLE, WA 98101-1873
(206) 515-5811
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00019967
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
05
—
8577801
—
WA
01
—
FA7119
BLUE SHIELD
WA
01
—
US0899945
AETNA/USHC PCP
WA
Enumeration date
07/14/2006
Last updated
07/23/2020
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