Provider Demographics
NPI:1225303035
Name:HOOD, ANDREA M (LMP)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:M
Last Name:HOOD
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 KIRKLAND WAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6021
Mailing Address - Country:US
Mailing Address - Phone:425-822-1859
Mailing Address - Fax:425-822-2920
Practice Address - Street 1:620 KIRKLAND WAY
Practice Address - Street 2:SUITE 105
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6021
Practice Address - Country:US
Practice Address - Phone:425-822-1859
Practice Address - Fax:425-822-2920
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60230436174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist