Provider Demographics
NPI:1659458230
Name:WECHKIN, HOPE (MD)
Entity Type:Individual
Prefix:DR
First Name:HOPE
Middle Name:
Last Name:WECHKIN
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 1:12822 124TH LN NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-7612
Mailing Address - Country:US
Mailing Address - Phone:425-899-1040
Mailing Address - Fax:425-899-1033
Practice Address - Street 1:12822 124TH LN NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7612
Practice Address - Country:US
Practice Address - Phone:425-899-1040
Practice Address - Fax:425-899-1033
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA13-4245347OtherEIN
WAG8902512Medicare PIN
WA13-4245347OtherEIN