Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | OI00000472 | WA |
Y | 222Z00000X | Podiatrist | OI00000472 | WA |
N | 224P00000X | Prosthetist |
NPI | 1134310485 |
---|---|
Provider Name | Vivian Hope |
First Address | Olympia, WA 98506-5031 |
Second Address | Olympia, WA 98506-5031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2007 |
Last Update Date | 21/03/2012 |