Healthcare Provider Details

I. General information

NPI: 1295526408
Provider Name (Legal Business Name): TSION HOTCHKISS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 MADISON AVE S
BAINBRIDGE ISLAND WA
98110-2576
US

IV. Provider business mailing address

285 MADISON AVE S
BAINBRIDGE ISLAND WA
98110-2576
US

V. Phone/Fax

Practice location:
  • Phone: 206-307-3292
  • Fax:
Mailing address:
  • Phone: 206-307-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number61102068
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: