Provider Demographics
NPI:1790330918
Name:FAUCHER, JAIME
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:FAUCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17916 TALBOT RD S
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-7911
Mailing Address - Country:US
Mailing Address - Phone:425-228-8880
Mailing Address - Fax:425-277-5812
Practice Address - Street 1:17916 TALBOT RD S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-7911
Practice Address - Country:US
Practice Address - Phone:425-228-8880
Practice Address - Fax:425-277-5812
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA60961632237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist