MEDICARE: DAVID HOGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	70061671	WA
2	225700000X	Massage Therapist	60836574	WA

General Provider Information

NPI Number	:	1568959443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID HOGAN

Provider Business Mailing Address
First Line	:	604 N 44TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-7244
Country	:	US
Telephone Number	:	571-243-2771
Fax Number	:

Provider Business Practice Location Address
First Line	:	604 N 44TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-7244
Country	:	US
Telephone Number	:	571-243-2771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2018
Last Update Date	:	02/20/2026

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Directions to “ DAVID HOGAN ” Practice Location

Language	Start Address	Practice Location

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