Individual
MAURICE GRANT HOOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2000
(360) 575-6479
Mailing address
37119 NE 86TH PL, LA CENTER, WA 98629-4249
(360) 263-5211
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
AP30006802
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
226058
AZ
367500000X
Certified Registered Nurse Anesthetist
AP30003802
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203727
LABOR & IND
WA
05
—
273978
—
OR
05
—
9641697
—
WA
Enumeration date
02/02/2006
Last updated
06/23/2020
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