Individual
HUMA I SADIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 SE STONEMILL DR, SUITE 102, VANCOUVER, WA 98684-6998
(360) 816-2700
(360) 816-2710
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6631
(503) 215-6271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60150813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699921387
NPI
—
01
—
MD60150813
LICENSE NUMBER
WA
Enumeration date
08/13/2008
Last updated
12/22/2021
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