NPI 1457521619

Russell W Faria DO PC

Organisation Family Medicine Physician Kent, WA

Practice location

Address: 15215 SE 272nd St STE 103, Kent, WA 98042-4215
Phone: (253) 639-1883
Fax: (253) 639-1891

Authorised official

Name: Trish Bukauskas
Title: Billing Mgr
Phone: (843) 293-9966

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence D020354 (OR)

Other Family Medicine providers in Washington →

Registry record

NPI: 1457521619
Entity type: Organization
NPI issued: 4 Mar 2008
Record last updated: 4 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.