Provider Demographics
NPI:1912463670
Name:HILLMAN CITY MEDICAL PLLC
Entity type:Organization
Organization Name:HILLMAN CITY MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:THUY
Authorized Official - Middle Name:DAN THI
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-480-7677
Mailing Address - Street 1:3828 S GRAHAM ST STE A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-3119
Mailing Address - Country:US
Mailing Address - Phone:206-480-7677
Mailing Address - Fax:206-267-3450
Practice Address - Street 1:3828 S GRAHAM ST STE A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-3119
Practice Address - Country:US
Practice Address - Phone:206-480-7677
Practice Address - Fax:206-267-3450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2020662Medicaid