Fast, Joel N

Fast, Joel N is an individual health care provider with primary practice located at 20673 Sw Roy Rogers Rd Ste. 201, Sherwood OR 97140-9222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fast, Joel N can be contacted via phone (503) 925-0588.

Contact Information

Primary practice address
20673 Sw Roy Rogers Rd Ste. 201 Sherwood OR 97140-9222
Fax: (503) 925-0418
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00010671 Washington

Profile Details

NPI number 1467595363
LBN Legal business name Fast, Joel N
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jun 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467595363 NPPES
Washington MEDICAID 5051677
Washington Other 0214008

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