Provider Demographics
NPI:1245287648
Name:DRUCKMAN, HOPE LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:HOPE
Middle Name:LYNNE
Last Name:DRUCKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HOPE
Other - Middle Name:LYNNE
Other - Last Name:KOHLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:205-466-5936
Mailing Address - Fax:206-466-5984
Practice Address - Street 1:805 MADISON ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1172
Practice Address - Country:US
Practice Address - Phone:205-466-5936
Practice Address - Fax:206-466-5984
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00017250207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8862999Medicare PIN