Healthcare Provider Details

I. General information

NPI: 1669439659
Provider Name (Legal Business Name): FRANK A HING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ALDER ST
SOUTHBEND WA
98506
US

IV. Provider business mailing address

PO BOX 227
SOUTHBEND WA
98586
US

V. Phone/Fax

Practice location:
  • Phone: 360-875-5339
  • Fax: 360-875-5042
Mailing address:
  • Phone: 360-875-5339
  • Fax: 360-875-5042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD00020716
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: