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Individual

JOHN R HIEMSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1610 GROVER ST STE D1, LYNDEN, WA 98264-1539
(360) 354-1333
(360) 354-5399
Mailing address
3610 MERIDIAN ST, BELLINGHAM, WA 98225-1732
(360) 318-8800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00002028
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0199675
L&I REGULAR
WA
01
3976HI
REGENCE BLUESHIELD
WA
01
423898076
GROUP HEALTH COOPERATIVE
WA
05
8431520
WA
01
8906770
L&I CRIME VICTIM
WA
01
P00241348
RAILROAD MEDICARE
WA
Enumeration date
07/07/2006
Last updated
04/27/2026
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