Healthcare Provider Details

I. General information

NPI: 1609921832
Provider Name (Legal Business Name): PATRICIA L. HOGAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 15TH AVE E
SEATTLE WA
98112-5260
US

IV. Provider business mailing address

PO BOX 34581
SEATTLE WA
98124-1581
US

V. Phone/Fax

Practice location:
  • Phone: 206-326-3000
  • Fax: 206-326-3603
Mailing address:
  • Phone: 509-241-7349
  • Fax: 509-241-7628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30003473
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00019029
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: