Healthcare Provider Details

I. General information

NPI: 1548266885
Provider Name (Legal Business Name): JOHN F HUTCHINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 N 115TH ST STE 106
SEATTLE WA
98133-8414
US

IV. Provider business mailing address

1560 N 115TH ST STE 106
SEATTLE WA
98133-8414
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-1558
  • Fax: 206-368-5751
Mailing address:
  • Phone: 206-368-1558
  • Fax: 206-368-5751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD00014076
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD00014076
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: