Gail Fahey M.D.
Case Management Agency in Vancouver, WA(View on Map)
Full Name
Gail Fahey M.D.
NPI Number
1174915151
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/27/2015
Specialties
(Taxonomies)Code
251B00000X
103TB0200X
253J00000X
385H00000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Washington
Washington
Washington
Washington
License Number
4028798
33780981
4054878
60167155
Contact
Information
Purpose
Mailing
Location
Address
1601 E FOURTH PLAIN BLVD
1601 E FOURTH PLAIN BLVD
City
Vancouver
Vancouver
State
WA
WA
Postal Code
98661-3713
98661-3713
Country
US
US
Telephone Number
(360) 696-4061
(360) 696-4061
Identifiers
Identifier
680-709
CIMC
P100, P300
390-459
C100, C200, C300
C400
CEMC
CFPC
T1015
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Identifier State
WA
WA
WA
WA
WA
WA
WA
WA
WA
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Identifier Issuer
ICD-9CM
INTERNAL MEDICINE
STRUCTURE, STRATEGY, ANALYSIS
ICD-9CM
COUNSELING
COUNSELING
EVALUATION AND MANAGEMENT
FAMILY PRACTICE
CLINIC SERVICE
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/14/2017
Provider Address
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