Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fasa Family Wellness PLLC

Organization Family Medicine Physician · NPI 1679979769

Fasa Family Wellness PLLC is a Family Medicine Physician in Centralia, Washington. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1220 W 1st St Ste B
Centralia, WA 98531-3018
Phone: (360) 736-4151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679979769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrence Hess — Owner · (360) 754-3338
NPI enumeratedNovember 17, 2014
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing addressPo Box 825159, Philadelphia, PA 19182-5159

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