| Hope Medical Holistic Clinic Pllc | |
|
3606 Main Street Ste 105 Vancouver WA 98663-2235 | |
| (360) 750-9292 | |
| (360) 750-9290 |
| Full Name | Hope Medical Holistic Clinic Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 3606 Main Street, Vancouver, Washington |
| Authorized Official Name and Position | Zbigniew M Grudzien (GENERAL PRACTITIONER) |
| Authorized Official Contact | 3607509292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Medical Holistic Clinic Pllc 3606 Main Street Ste 105 Vancouver WA 98663-2235 Ph: (360) 750-9292 | Hope Medical Holistic Clinic Pllc 3606 Main Street Ste 105 Vancouver WA 98663-2235 Ph: (360) 750-9292 |
| NPI Number | 1194866509 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 07/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194866509 | NPI | - | NPPES |
| 1121391 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MD00039350 (Washington) | Primary |
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