Individual
JUDITH ANN FAULHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 258-3678
(425) 258-3048
Mailing address
2153 N 64TH ST, SEATTLE, WA 98103-5441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00020203
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003482
—
WA
01
—
189631
L&I
—
01
—
2948FA
B/S REGENCE 90
—
Enumeration date
07/11/2006
Last updated
07/08/2007
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