Healthcare Provider Details

I. General information

NPI: 1063445211
Provider Name (Legal Business Name): PETER ALAN HASHISAKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 116TH AVE NE STE D
BELLEVUE WA
98004-3802
US

IV. Provider business mailing address

9023 NE 47TH ST
YARROW POINT WA
98004-1242
US

V. Phone/Fax

Practice location:
  • Phone: 425-455-8248
  • Fax: 425-462-1643
Mailing address:
  • Phone: 425-441-9330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0020628
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: