Provider Demographics
NPI:1730494642
Name:FIHN MED GROUP INC
Entity Type:Organization
Organization Name:FIHN MED GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-403-5584
Mailing Address - Street 1:3701 PACIFIC AVE SE
Mailing Address - Street 2:SUITE 143
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-2124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3701 PACIFIC AVE SE
Practice Address - Street 2:SUITE 143
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2124
Practice Address - Country:US
Practice Address - Phone:206-403-5584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016664207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty