Provider Demographics
NPI:1205303278
Name:HOOBER, SAMANTHA PAIGE
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:PAIGE
Last Name:HOOBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13445 MARTIN LUTHER KING JR WAY S BLDG 13A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-5226
Mailing Address - Country:US
Mailing Address - Phone:765-407-1167
Mailing Address - Fax:
Practice Address - Street 1:13445 MARTIN LUTHER KING JR WAY S BLDG 13A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-5226
Practice Address - Country:US
Practice Address - Phone:765-407-1167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula