Individual
SOPHIE MICHELE HOPTOWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 423-5086
Mailing address
921 14TH AVENUE, LONGVIEW, WA 98632
(360) 423-0203
(360) 423-2311
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00036704
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019886
—
WA
Enumeration date
12/13/2006
Last updated
05/16/2018
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