| Organization Name: | HILLTOP MEDICAL CLINIC PS |
| NPI Number: | 1003946914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KHAIRUNNISSA RAJWANI (PRESIDENT) |
| Mailing Address: | 18802 Mt View Dr 18802 Mt View Bonney Lake |
| State: | WA US |
| Postal Code: | 983908391 |
| Phone Number: | 2534474737 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MD00041861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |