Provider Demographics
NPI:1801476791
Name:DR HOPE-SLOCUM CONSULTING LLC
Entity type:Organization
Organization Name:DR HOPE-SLOCUM CONSULTING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:HOPE-SLOCUM
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-319-3339
Mailing Address - Street 1:11010 HARBOR HILL DR STE B275
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8953
Mailing Address - Country:US
Mailing Address - Phone:253-319-3339
Mailing Address - Fax:
Practice Address - Street 1:5713 WOLLOCHET DR NW STE 101
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7371
Practice Address - Country:US
Practice Address - Phone:253-319-3339
Practice Address - Fax:706-416-4727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty