Provider Demographics
NPI:1821339938
Name:FOY, HJORDIS MANNBECK
Entity Type:Individual
Prefix:MRS
First Name:HJORDIS
Middle Name:MANNBECK
Last Name:FOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELSA
Other - Middle Name:HJORDIS
Other - Last Name:FOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11016 NE 47TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7706
Mailing Address - Country:US
Mailing Address - Phone:425-822-0729
Mailing Address - Fax:
Practice Address - Street 1:11016 NE 47TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7706
Practice Address - Country:US
Practice Address - Phone:425-822-0729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00008668208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice