Provider Demographics
NPI:1922094077
Name:REEVES, FAITH E (MD)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:E
Last Name:REEVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:E
Other - Last Name:HYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1231 116TH AVE NE
Mailing Address - Street 2:SUITE 525
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3804
Mailing Address - Country:US
Mailing Address - Phone:425-635-6910
Mailing Address - Fax:425-635-6911
Practice Address - Street 1:1231 116TH AVE NE
Practice Address - Street 2:SUITE 525
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3804
Practice Address - Country:US
Practice Address - Phone:425-635-6910
Practice Address - Fax:425-635-6911
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00025169207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA152234OtherLABOR & INDUSTRY
WA2329REOtherREGENCE
WA8115784Medicaid
WA110222292OtherPALMETTO / RR MEDICARE
WA8115784Medicaid
WAAB23166Medicare ID - Type Unspecified