Individual
GREGORY MITCHELL HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2805 NE 129TH ST, VANCOUVER, WA 98686-3324
(360) 356-1890
Mailing address
1312 NW 13TH ST, BATTLE GROUND, WA 98604-3231
(360) 903-2996
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN61149331
WA
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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