NPI 1003213166

Austin G Hogland, PAC

Practitioner Physician Assistant Renton, WA

Practice location

Address: 660 SW 39th St Suite 150, Renton, WA 98057-4912
Phone: (425) 793-4700
Fax: (425) 251-4302
Mailing address: PO Box 59028, Renton, WA 98058-2028

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 60518925 (WA)

Other Physician Assistant providers in Washington →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA60518925 (WA)

Registry record

NPI: 1003213166
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2014
Record last updated: 7 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.