Provider Demographics
NPI:1215973920
Name:LE, HOANG N (MD)
Entity type:Individual
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First Name:HOANG
Middle Name:N
Last Name:LE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 NE MOTHER JOSEPH PL
Mailing Address - Street 2:SUITE 210
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-3299
Mailing Address - Country:US
Mailing Address - Phone:360-254-6161
Mailing Address - Fax:360-449-1139
Practice Address - Street 1:200 NE MOTHER JOSEPH PL
Practice Address - Street 2:SUITE 110
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-3299
Practice Address - Country:US
Practice Address - Phone:360-256-8584
Practice Address - Fax:360-449-1146
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-10-10
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Provider Licenses
StateLicense IDTaxonomies
WAMD43407207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8390510Medicaid
H95393Medicare UPIN
WA8390510Medicaid