Provider Demographics
NPI:1841476165
Name:FAY, HOPE (ND)
Entity type:Individual
Prefix:DR
First Name:HOPE
Middle Name:
Last Name:FAY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1265
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-1265
Mailing Address - Country:US
Mailing Address - Phone:360-579-2858
Mailing Address - Fax:360-579-2159
Practice Address - Street 1:5994 HAGGLUND LN
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:WA
Practice Address - Zip Code:98236-8634
Practice Address - Country:US
Practice Address - Phone:360-579-2858
Practice Address - Fax:360-579-2159
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000516175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath