Provider Demographics
NPI:1215179502
Name:HECHT, CORINNE MARIE (MD)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:MARIE
Last Name:HECHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 SQUALICUM WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2076
Mailing Address - Country:US
Mailing Address - Phone:360-676-1470
Mailing Address - Fax:360-676-0377
Practice Address - Street 1:905 SQUALICUM WAY STE 101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2076
Practice Address - Country:US
Practice Address - Phone:360-676-1470
Practice Address - Fax:360-676-0377
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60397502207N00000X
CAA123841207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology