Healthcare Provider Details

I. General information

NPI: 1891827093
Provider Name (Legal Business Name): JANICE HOSHINO PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8290 165TH AVE NE
REDMOND WA
98052-3948
US

IV. Provider business mailing address

8290 165TH AVE NE
REDMOND WA
98052-3948
US

V. Phone/Fax

Practice location:
  • Phone: 425-869-2644
  • Fax: 425-867-0930
Mailing address:
  • Phone: 425-869-2644
  • Fax: 425-867-0930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF0001010
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: