Provider Demographics
NPI:1578536108
Name:ALTHOFF, JULIANN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIANN
Middle Name:M
Last Name:ALTHOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIANN
Other - Middle Name:M ALTHOFF
Other - Last Name:FAERBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3475 N SARATOGA ST BLDG 993
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98278-8800
Mailing Address - Country:US
Mailing Address - Phone:360-257-9975
Mailing Address - Fax:
Practice Address - Street 1:3475 N SARATOGA ST BLDG 993
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98278-4799
Practice Address - Country:US
Practice Address - Phone:360-257-9975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01046869A2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine