Provider Demographics
NPI:1982684288
Name:FARBER, MICHAEL S (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:FARBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:505 NE 87TH AVE
Mailing Address - Street 2:STE 160
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-4897
Mailing Address - Country:US
Mailing Address - Phone:360-514-1060
Mailing Address - Fax:360-514-1065
Practice Address - Street 1:505 NE 87TH AVE
Practice Address - Street 2:STE 160
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-4897
Practice Address - Country:US
Practice Address - Phone:360-514-1060
Practice Address - Fax:360-514-1065
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00037331207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8240731Medicaid
WAG8886637Medicare PIN
G93950Medicare UPIN