Provider Demographics
NPI:1669440012
Name:COOK, HULL ALDEN (M D, PS)
Entity Type:Individual
Prefix:DR
First Name:HULL
Middle Name:ALDEN
Last Name:COOK
Suffix:
Gender:M
Credentials:M D, PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 F ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3012
Mailing Address - Country:US
Mailing Address - Phone:360-671-8086
Mailing Address - Fax:360-738-0886
Practice Address - Street 1:1600 F ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3012
Practice Address - Country:US
Practice Address - Phone:360-671-8086
Practice Address - Fax:360-738-0886
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00014696174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1379304Medicaid
WA1669440012OtherINDIVIDUAL NPI
WA1669440012OtherINDIVIDUAL NPI
WAG001400044Medicare PIN