Healthcare Provider Details

I. General information

NPI: 1588642359
Provider Name (Legal Business Name): PETER Y HAHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 NW 11TH ST STE 201
HERMISTON OR
97838-6936
US

IV. Provider business mailing address

620 NW 11TH ST STE 201
HERMISTON OR
97838-6936
US

V. Phone/Fax

Practice location:
  • Phone: 541-667-3868
  • Fax: 541-303-8633
Mailing address:
  • Phone: 541-667-3868
  • Fax: 541-303-8633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD150806
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: