1376233676 NPI number — HOPE DORCE AND ASSOCIATES PLLC

Table of content: (NPI 1376233676)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376233676 NPI number — HOPE DORCE AND ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOPE DORCE AND ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376233676
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16000 CHRISTENSEN RD STE 110
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUKWILA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98188-2957
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-825-2904
Provider Business Mailing Address Fax Number:
206-212-8238

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16000 CHRISTENSEN RD STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUKWILA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98188-2957
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-825-2904
Provider Business Practice Location Address Fax Number:
206-212-8238
Provider Enumeration Date:
05/10/2023

Additional Information

Authorized Official

Authorized Official Last Name:
DORCE
Authorized Official First Name:
ROSENIE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/ADMINISTRATOR
Authorized Official Telephone Number:
206-825-2904

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2015005523 . This is a "ANCC CERTIFICATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: AP60877568 . This is a "APRN LICENSE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 2123375 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: CNP2266768 . This is a "APRN LICESE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 604331571 . This is a "UNIFIED BUSINESS NUMBER (UBI)" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 1306219852 . This is a "PROVIDER NPI" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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