Organization
HUDSON'S BAY MEDICAL GROUP, INC., P.S.
Active
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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