Individual
JONATHON C HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 33RD AVE W STE 100, SEATTLE, WA 98199-3252
(206) 320-3364
(206) 320-5869
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60744862
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084845
—
WA
Enumeration date
04/28/2014
Last updated
04/15/2022
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