Doctor Name: | JAMES C FAHERTY |
NPI Number: | 1003898339 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD18414 |
Business Practice Address: | 1810 E 19th St Suite 209 The Dalles, OR - 970583388 |
Business Phone Number: | 5412965657 |
Business Fax Number: | |
Mailing Address: | 1810 E 19th St, Suite 209 THE DALLES |
State: | OR |
Postal Code: | 970583388 |
Phone Number: | 5412965657 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD18414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |