Provider Demographics
NPI:1689877276
Name:FAIR, RAMEY ELISABETH (MAC)
Entity Type:Individual
Prefix:MS
First Name:RAMEY
Middle Name:ELISABETH
Last Name:FAIR
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3959 S FERDINAND ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1739
Mailing Address - Country:US
Mailing Address - Phone:206-721-0142
Mailing Address - Fax:206-861-8305
Practice Address - Street 1:222 10TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5720
Practice Address - Country:US
Practice Address - Phone:206-755-4949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00000729171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist