Individual
DR. CHARLES HUNTER HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 364-0500
Mailing address
5435 40TH AVE W, SEATTLE, WA 98199-1032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00039614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00039614
MEDICAL LICENSE
WA
Enumeration date
01/10/2007
Last updated
02/11/2022
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