MEDICARE: DANIEL CHRISTOPHER HUGHES JR. PA-S

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1588523302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL CHRISTOPHER HUGHES JR. PA-S

Provider Business Mailing Address
First Line	:	1633 BURNSIDE PL UNIT A
Second Line	:
City	:	DUPONT
State	:	WA
Zip	:	98327-8829
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9040 JACKSON AVE
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-1110
Fax Number	:

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

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	01/17/2026

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