Provider Demographics
NPI:1922048024
Name:HOPPER, JAMES G (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:HOPPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:709 W ORCHARD DR
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1766
Mailing Address - Country:US
Mailing Address - Phone:360-318-8800
Mailing Address - Fax:360-318-1085
Practice Address - Street 1:722 N STATE ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5334
Practice Address - Country:US
Practice Address - Phone:360-752-2865
Practice Address - Fax:360-647-8093
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00037521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA080147967OtherRAILROAD MEDICARE
WA423898044OtherGROUP HEALTH COOPERATIVE
WA6235HOOtherREGENCE BLUESHIELD
WA8925029OtherLABOR & INDUSTRIES (CV)
WA8245862Medicaid
WA0131538OtherLABOR & INDUSTRIES (REG)
WAD97159Medicare UPIN
WA423898044OtherGROUP HEALTH COOPERATIVE