SearchWashington363LA2200X

Jill Faccia, AGACNP

NPI 1174952139 · on the registry since 2013

Practice

Address
700 Ne 87th Ave
Vancouver, WA 98664
Phone
(360) 882-2778
Fax
(360) 604-1771
Organisation at this address
Fred Meyer Stores Inc
The Vancouver Clinic Inc Ps
The Vancouver Clinic Inc Ps
The Vancouver Clinic Pharmacy
Oregon Health & Science University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
352

Additional practice sites

  • 2005 W Main St Ste 240, Battle Ground, WA

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington