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
—
—
261Q00000X
Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/09/2013
Last updated
04/04/2023
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