Provider Demographics
NPI:1376233676
Name:HOPE DORCE AND ASSOCIATES PLLC
Entity Type:Organization
Organization Name:HOPE DORCE AND ASSOCIATES PLLC
Other - Org Name:HOPE DORCE AND ASSOCIATES P.L.L.C.,
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSENIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DORCE
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, ARNP, PMHNP, BC
Authorized Official - Phone:206-825-2904
Mailing Address - Street 1:16000 CHRISTENSEN RD STE 110
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2957
Mailing Address - Country:US
Mailing Address - Phone:206-825-2904
Mailing Address - Fax:206-212-8238
Practice Address - Street 1:16000 CHRISTENSEN RD STE 110
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2957
Practice Address - Country:US
Practice Address - Phone:206-825-2904
Practice Address - Fax:206-212-8238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2015005523OtherANCC CERTIFICATION
WAAP60877568OtherAPRN LICENSE
NH2123375Medicaid
MACNP2266768OtherAPRN LICESE
WA604331571OtherUNIFIED BUSINESS NUMBER (UBI)
NH1306219852OtherPROVIDER NPI