Healthcare Provider Details

I. General information

NPI: 1922046572
Provider Name (Legal Business Name): CHRISTOPHER G HOGNESS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 11/12/2020
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1116 HWY 20
WINTHROP WA
98862
US

IV. Provider business mailing address

PO BOX 945
WINTHROP WA
98862-0945
US

V. Phone/Fax

Practice location:
  • Phone: 509-996-8180
  • Fax: 509-996-3374
Mailing address:
  • Phone: 509-996-8180
  • Fax: 509-996-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00033035
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD00033035
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD00033035
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: