Testosterone and Longevity Center

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00001500 Issued in WA

Legal business name

TESTOSTERONE AND LONGEVITY CENTER

Practice address

5335 NE 4TH St
Renton, WA 98059-4831

Phone

(425) 264-5678

Fax

(425) 264-5679

NPI assigned

Sep 5, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Philip W Faler, N.D

Title

Medical Director

Phone

(425) 264-5678

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1922433267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 NE 4TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594831",
            "telephone_number": "425-264-5678",
            "fax_number": "425-264-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 NE 4TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594831",
            "telephone_number": "425-264-5678",
            "fax_number": "425-264-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTOSTERONE AND LONGEVITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "FALER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-264-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon James Teng, MD
• Richard Terry
• Tsegay Tesfagiorgis, RPH
• Aster Embaye Tesfaye, RN/BSN
• Nikola Teslovich, MD
• Laura Esther Texera, LICSW
• Don Q. Thai, MD
• Baburaj Thankappan, M.D
• Christopher W Thayer, MD
• The Bartell Drug Co

• Naturopath in Renton, WA
• Providers in Renton, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.