Russell W Faria Do Pc

LBN: Russell W Faria Do Pc
Russell W Faria Do Pc is an health care organization with primary practice located at 15215 Se 272Nd St Ste 103 , Kent WA 98042-4215. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Russell W Faria Do Pc can be contacted via phone (253) 639-1883, or through Bukauskas, Trish via phone (843) 293-9966.

Contact Information

Primary practice address
15215 Se 272Nd St Ste 103 Kent WA 98042-4215
Phone: (253) 639-1883
Fax: (253) 639-1891
Website:
Map and Directions
Authorized official contact:
Name: Bukauskas, Trish
Phone: (843) 293-9966

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D020354 Oregon

Profile Details

NPI number 1457521619
LBN Legal business name Russell W Faria Do Pc
DBA Doing business as
Authorized official Bukauskas, Trish
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2008
Last updated Mar 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457521619 NPPES
Oregon MEDICAID 150278
Oregon Other D020354

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