Individual
MS. HOLLY JEANNE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 524-4450
Mailing address
2907 NE WHITMAN AVE, VANCOUVER, WA 98662-7190
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPST.PE.70071980
WA
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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