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NPI Code Detail

MEDICARE: PAIGE LEIGH HAUTER PA

MEDICARE: PAIGE LEIGH HAUTER PA
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
1363A00000XPhysician AssistantPA61658562WA

General Provider Information

NPI Number : 1831924794
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE LEIGH HAUTER PA
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 N LAVENTURE RD
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-2766
Country : US
Telephone Number : 605-428-9003
Fax Number : 360-542-8296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2024
Last Update Date : 05/19/2026

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Directions to “ PAIGE LEIGH HAUTER PA” Practice Location

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