Individual provider · Type 1 NPI

Michael Douglas Hegewald

Specialist · Vancouver, WA

NPI number 1659602811 Active

Practice location

2004 Broadway St
Vancouver, WA 98663-3327

Call (360) 993-8868 Map

Mailing address

4204 NE 44th St
Vancouver, WA 98661

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60117362 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1659602811

Michael Douglas Hegewald's National Provider Identifier is 1659602811, issued on Jan 27, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 27, 2010.