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FAHEY, MATTHEW GILBERT       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 3100 FALK ROAD #120
VANCOUVER WA 98661
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16613
Dated: 7/21/1988
Expires: 6/30/1993
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: OR HLTH SCI UNIV SCH OF MED, PORTLAND OR 97201
Graduated: 6 / 1987
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3100 FALK ROAD #120
VANCOUVER WA 98661

Phone #:
Fax #:

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