1093713059

Everything you always wanted to know about FELT THOMAS HARLAN THATCHER D.O. but were afraid to ask.

FELT THOMAS HARLAN THATCHER D.O.

You can also download the this 1093713059 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
FELT THOMAS HARLAN THATCHER D.O.
Gender:
Male
Enumeration date:
2005-07-13
Last update date:
2012-12-20
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for THATCHER, FELT in
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Identifiers

identifier description issuer state
BF9312199 Other DEA REGISTRATION NUMBER WA
G8864248 Medicare ID-Type Undpecified none none
8437725 Medicaid none WA
8437725 Other CHPW WA
911019392 Other COMMERCIAL none

Taxonomies

Taxonomy State License Number Primary?
208000000X Pediatrics WA OP00002003

Phone Numbers

Type Number
Mailing Address Telephone Number 5098656175
Practice Location Address Telephone Number 5098823444

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 190 TOPPENISH WA 98948 WA
Practice Location Address 1000 WALLACE WAY GRANDVIEW WA 0 WA

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Individual
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Individual
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Individual
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Organization
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Individual
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Organization
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Individual
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Individual
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Individual
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Organization
1475 MOUNT HOOD AVE OR WOODBURN
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Individual
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Individual
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1780909507 CONWAY, HILARY
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1000 WALLACE WAY WA GRANDVIEW
1790109098 AL MOHAMADWAY, HAIDER
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518 W 1ST AVE WA TOPPENISH
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518 W 1ST AVE WA TOPPENISH
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Organization
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2205 W LINCOLN AVE WA YAKIMA
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1891821013 YAKIMA VALLEY FARM WORKERS CLI
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120 W MISSION AVE WA SPOKANE
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1982046710 YAKIMA VALLEY FARM WORKERS CLI
Organization
2680 YAKIMA VALLEY HWY STE B WA SUNNYSIDE
1982790176 HEISEY, KYLE
Individual
518 W 1ST AVE WA TOPPENISH
1992021745 DRAPIZA, LESLIE
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3896 BEVERLY AVE NE OR SALEM
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1000 WALLACE WAY WA GRANDVIEW
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1000 WALLACE WAY WA GRANDVIEW
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1000 WALLACE WAY WA GRANDVIEW
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