Individual
MICHAELA FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Mailing address
240 W FRONT ST STE A, PORT ANGELES, WA 98362-2609
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61456779
WA
Other
Enumeration date
04/28/2020
Last updated
08/19/2024
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