Provider Demographics
NPI:1568527349
Name:HUTCHISON, JANETTE R (BC-HIS)
Entity Type:Individual
Prefix:MRS
First Name:JANETTE
Middle Name:R
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 RIVERSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:HOQUIAM
Mailing Address - State:WA
Mailing Address - Zip Code:98550-2742
Mailing Address - Country:US
Mailing Address - Phone:360-533-2778
Mailing Address - Fax:360-533-4169
Practice Address - Street 1:1933 RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:HOQUIAM
Practice Address - State:WA
Practice Address - Zip Code:98550-2742
Practice Address - Country:US
Practice Address - Phone:360-533-2778
Practice Address - Fax:360-533-4169
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA00002414237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0213492OtherSTATE L&I PROV. NUMBER
WA9058959Medicaid