Organization
HUDSON'S BAY MEDICAL GROUP, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY HINTZ (ADMINISTRATOR)
(360) 992-1155
Entity
Organization
Contact information
Practice address
100 E 33RD ST, STE 206, VANCOUVER, WA 98663-2776
(360) 695-1334
(360) 992-1159
Mailing address
100 E 33RD ST, STE 206, VANCOUVER, WA 98663-2776
(360) 695-1334
(360) 992-1159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7870405
—
WA
Enumeration date
06/09/2005
Last updated
09/28/2022
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