Healthcare Provider Details

I. General information

NPI: 1962015149
Provider Name (Legal Business Name): JAMES LEE HUG DNP, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 SE BISHOP BLVD STE 140
PULLMAN WA
99163-5517
US

IV. Provider business mailing address

825 SE BISHOP BLVD STE 140
PULLMAN WA
99163-5517
US

V. Phone/Fax

Practice location:
  • Phone: 509-336-7725
  • Fax: 509-715-2132
Mailing address:
  • Phone: 509-336-7725
  • Fax: 509-538-5919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN-240917
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number65553
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP61494495
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number10021888
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: