Individual
DR. JIDA G HUBANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2000
Mailing address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A196506
CA
207R00000X
Internal Medicine Physician
MD221513
OR
207R00000X
Internal Medicine Physician
Primary
MD61568300
WA
Other
Enumeration date
04/07/2021
Last updated
08/20/2024
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