Provider Demographics
NPI:1437139417
Name:HOPEN, CARINA CEZAR (MD)
Entity Type:Individual
Prefix:DR
First Name:CARINA
Middle Name:CEZAR
Last Name:HOPEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3038 FREEDOM LN
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-3625
Mailing Address - Country:US
Mailing Address - Phone:360-320-1798
Mailing Address - Fax:
Practice Address - Street 1:3038 FREEDOM LN
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-3625
Practice Address - Country:US
Practice Address - Phone:360-320-1798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU61251027133N00000X
WAMD00047117207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No133N00000XDietary & Nutritional Service ProvidersNutritionist