Individual
HEIDI L. HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LONGVIEW-KELSO MEDICAL OFFICE, 1230 7TH AVENUE, LONGVIEW, WA 98632-3166
(360) 636-2400
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-2400
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD00033909
WA
Other
Enumeration date
10/04/2006
Last updated
07/16/2007
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