Provider Demographics
NPI:1154380756
Name:HOPKINS, RODNEY J (MD)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:J
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 MERIDIAN AVE N
Mailing Address - Street 2:STE 505
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-9008
Mailing Address - Country:US
Mailing Address - Phone:206-365-4100
Mailing Address - Fax:206-368-6898
Practice Address - Street 1:1560 N 115TH
Practice Address - Street 2:SEATTLE BREAST CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-368-1749
Practice Address - Fax:206-368-1790
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000186172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H03950OtherREGENCE
WA55678OtherLI
WA55900OtherLI
WA7822109Medicaid
WE4663OtherREGENCE
WA8456204Medicaid
WE4663OtherREGENCE
WA7822109Medicaid