Healthcare Provider Details

I. General information

NPI: 1265562573
Provider Name (Legal Business Name): MICHELE R. HINATSU ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9725 3RD AVE NE STE 500
SEATTLE WA
98115-2024
US

IV. Provider business mailing address

9725 3RD AVE NE STE 500
SEATTLE WA
98115-2024
US

V. Phone/Fax

Practice location:
  • Phone: 206-527-1200
  • Fax:
Mailing address:
  • Phone: 206-527-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberAP30003078
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: