MEDICARE: MICHELLE HOCKING DE GEEST MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD60370712	WA
2	207V00000X	Obstetrics & Gynecology Physician	36207	IA
3	207V00000X	Obstetrics & Gynecology Physician	MD162517	OR
4	207V00000X	Obstetrics & Gynecology Physician	66674	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	36207	OTHER	IA	STATE LICENSE

General Provider Information

NPI Number	:	1053308627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE HOCKING DE GEEST MD

Provider Business Mailing Address
First Line	:	14406 NE 20TH AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98686-1448
Country	:	US
Telephone Number	:	360-571-4244
Fax Number	:	360-571-4246

Provider Business Practice Location Address
First Line	:	505 NE 87TH AVE STE 160
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-1965
Country	:	US
Telephone Number	:	360-514-1060
Fax Number	:	360-514-1065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	01/23/2026

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Directions to “ MICHELLE HOCKING DE GEEST MD” Practice Location

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