Organization
HOPE MEDICAL HOLISTIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZBIGNIEW M GRUDZIEN M.D. (GENERAL PRACTITIONER)
(360) 750-9292
Entity
Organization
Contact information
Practice address
3606 MAIN STREET, STE 105, VANCOUVER, WA 98663-2235
(360) 750-9292
(360) 750-9290
Mailing address
3606 MAIN STREET, STE 105, VANCOUVER, WA 98663-2235
(360) 750-9292
(360) 750-9290
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD00039350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121391
—
WA
Enumeration date
02/09/2007
Last updated
07/16/2010
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