Healthcare Provider Details

I. General information

NPI: 1699691741
Provider Name (Legal Business Name): HOPE NICOLE MCADOW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 PETERSON RD
BURLINGTON WA
98233-2606
US

IV. Provider business mailing address

PO BOX 375
BURLINGTON WA
98233-0375
US

V. Phone/Fax

Practice location:
  • Phone: 360-856-3054
  • Fax:
Mailing address:
  • Phone: 360-856-3054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: