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Organization
HOMETOWN FAMILY HEALTH
Active
Organization
HOMETOWN FAMILY HEALTH
Active
Other names
Hometown Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA RAYKOWSKI ARNP (SOLE PROPRIETOR)
(360) 249-8528
Entity
Organization
Contact information
Practice address
103 E BROADWAY AVE, MONTESANO, WA 98563-3703
(360) 249-8528
(888) 990-3893
Mailing address
103 E BROADWAY AVE, MONTESANO, WA 98563-3703
(360) 249-8528
(888) 990-3893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/09/2013
Last updated
04/04/2023
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