Provider Demographics
NPI:1659138220
Name:HOPE STREET
Entity Type:Organization
Organization Name:HOPE STREET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-301-3221
Mailing Address - Street 1:PO BOX 2001
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0948
Mailing Address - Country:US
Mailing Address - Phone:509-540-5276
Mailing Address - Fax:509-876-4313
Practice Address - Street 1:303 CATHERINE ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-3021
Practice Address - Country:US
Practice Address - Phone:509-540-5276
Practice Address - Fax:509-876-4313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management