MEDICARE: TIM HAGAN

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	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1720553704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIM HAGAN

Provider Business Mailing Address
First Line	:	4519 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4110
Country	:	US
Telephone Number	:	206-938-3711
Fax Number	:

Provider Business Practice Location Address
First Line	:	4519 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4110
Country	:	US
Telephone Number	:	206-938-3711
Fax Number	:

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

Provider Enumeration Date	:	10/05/2018
Last Update Date	:	10/05/2018

Similar Medicare Providers

1881773950 — DAMIAN GORMLEY O.D.
Practice Location Address:

4555 CALIFORNIA AVE SW
SEATTLE, WA
98116-4110

Practice Phone: 206-932-8276
Practice Fax: 206-937-2849

1700956968 — MS. AUDREY LYNN SHIFFMAN MSW
Practice Location Address:

4519 CALIFORNIA AVE SW
SEATTLE, WA
98116-4110

Practice Phone: 206-937-0507
Practice Fax: 206-236-4782

1427640234 — NORTHLAND HEARING CENTER, INC.
Practice Location Address:

4519 CALIFORNIA AVE SW
SEATTLE, WA
98116-4110

Practice Phone: 206-938-3711
Practice Fax: 206-938-0542

1306943071 — MS. MATTIE SHAW LMP
Practice Location Address:

4110 STONE WAY N , SUITE 201
SEATTLE, WA
98103-8000

Practice Phone: 206-992-2482
Practice Fax:

1710050364 — MS. SAMANTHA A BURNS L.M.P.
Practice Location Address:

4110 STONE WAY N
SEATTLE, WA
98103-8000

Practice Phone: 206-903-9633
Practice Fax:

1609934835 — MS. HELEN GWYN PELTON LMP
Practice Location Address:

4110 STONE WAY N , STILLPOINT HEALTH ASSOC
SEATTLE, WA
98103

Practice Phone: 206-297-7862
Practice Fax:

Directions to “ TIM HAGAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.