Individual
SUSAN N. HODGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP30004624
WA
367A00000X
Advanced Practice Midwife
RN00101234
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9622861
—
WA
Enumeration date
01/08/2007
Last updated
05/12/2021
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