Provider Demographics
NPI:1255688248
Name:ANDREWS-BRYANT, HILARY RUTH (LMP)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:RUTH
Last Name:ANDREWS-BRYANT
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 1:4701 NE 72ND AVE
Mailing Address - Street 2:A-16
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661
Mailing Address - Country:US
Mailing Address - Phone:503-927-0693
Mailing Address - Fax:
Practice Address - Street 1:700 SE 160TH AVE
Practice Address - Street 2:#113
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684
Practice Address - Country:US
Practice Address - Phone:360-334-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60276628175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath