Healthcare Provider Details

I. General information

NPI: 1568527349
Provider Name (Legal Business Name): JANETTE R HUTCHISON BC-HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1933 RIVERSIDE AVE
HOQUIAM WA
98550-2742
US

IV. Provider business mailing address

1933 RIVERSIDE AVE
HOQUIAM WA
98550-2742
US

V. Phone/Fax

Practice location:
  • Phone: 360-533-2778
  • Fax: 360-533-4169
Mailing address:
  • Phone: 360-533-2778
  • Fax: 360-533-4169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA00002414
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: