Individual
DR. JESSICA RUTH HANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
3015 SQUALICUM PARKWAY, SUITE 220, BELLINGHAM, WA 98225
(360) 676-1693
(360) 676-5458
Mailing address
921 AUTUMN LANE,, #253 LAKE SAMISH TERRACE PARK, BELLINGHAM, WA 98229
(801) 638-7834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00017457
WA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
6567064-1205
UT
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MD00017457
WA
2083X0100X
Occupational Medicine Physician
G5670641205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G5670641205
UT LICENSE
UT
01
—
MD00017457
LICSENSE
WA
Enumeration date
02/06/2007
Last updated
11/16/2009
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