Hackett, Kristine Marie

Hackett, Kristine Marie is an sole proprietor health care provider with primary practice located at 19301 Se 34Th St Ste 104 , Camas WA 98607-8881. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hackett, Kristine Marie can be contacted via phone (360) 254-2318.

Contact Information

Primary practice address
19301 Se 34Th St Ste 104 Camas WA 98607-8881
Phone: (360) 254-2318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 61086172 Washington
Eye and Vision Services Providers / Optometrist 152W00000X ATI4526 Oregon

Profile Details

NPI number 1962011320
LBN Legal business name Hackett, Kristine Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2020
Last updated Jul 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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