Hatcher-Ross, Kevin Stuart

Hatcher-Ross, Kevin Stuart is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hatcher-Ross, Kevin Stuart can be contacted via phone (360) 397-3158.

Contact Information

Primary practice address
700 Ne 87Th Ave Vancouver WA 98664-1913
Phone: (360) 397-3158
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18015 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00047926 Washington

Profile Details

NPI number 1831234855
LBN Legal business name Hatcher-Ross, Kevin Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Feb 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831234855 NPPES
Oregon MEDICAID 213252
Oregon MEDICAID 8481657

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