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FAIRHAVEN FAMILY MEDICINE PS
NPI 1740425685
Clinic/Center - Multi-Specialty in Burlington, WA

Active since December 05, 2008
1030 E FAIRHAVEN AVE, BURLINGTON, WA 98233(360) 755-0311(360) 755-1272 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairhaven Family Medicine Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRHAVEN FAMILY MEDICINE PS (NPI 1740425685) is a healthcare organization registered as a multi-specialty in Burlington, Washington and active in the NPI registry since December 2008. The organization lists Stephen M Aldrich, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1740425685
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAIRHAVEN FAMILY MEDICINE PS
Location Address1030 E FAIRHAVEN AVEBurlington, WA 98233-2006
Mailing AddressPo Box 468Burlington, WA 98233-0468 · (360) 755-0311 · Fax (360) 755-1272
Phone(360) 755-0311
Fax(360) 755-1272
Organization SubpartNo
Authorized OfficialStephen M AldrichOwner/physician · (360) 755-0311
Enumeration DateDecember 5, 2008
Last NPPES UpdateSeptember 15, 2010
✔ NPI 1740425685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Licenses✔ Licensed in WA · MD00013642✔ Licensed in WA · MD00023548
1030 E FAIRHAVEN AVE, Burlington, WA 98233
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Other Identifiers 1

OtherS57930WA · Regence Blue Shield

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairhaven Family Medicine Ps's NPI number?

The NPI number for Fairhaven Family Medicine Ps is 1740425685. It was assigned to this organization in the NPPES registry on December 5, 2008.

Where is Fairhaven Family Medicine Ps located?

Fairhaven Family Medicine Ps is located at 1030 E Fairhaven Ave, Burlington, WA 98233. The listed phone number is (360) 755-0311.

What is Fairhaven Family Medicine Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Fairhaven Family Medicine Ps was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.