MEDICARE: FRED ISAMU HASEGAWA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DE00002856	WA

General Provider Information

NPI Number	:	1003936733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRED ISAMU HASEGAWA D.D.S.

Provider Business Mailing Address
First Line	:	4743 RAINIER AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1657
Country	:	US
Telephone Number	:	206-723-3340
Fax Number	:	206-723-3348

Provider Business Practice Location Address
First Line	:	4743 RAINIER AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-1657
Country	:	US
Telephone Number	:	206-723-3340
Fax Number	:	206-723-3348

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1144309972 — MISS NGA THIEN LIEU ARNP
Practice Location Address:

4739 1/2 RAINIER AVE SOUTH
SEATTLE, WA
98118-1657

Practice Phone: 206-725-0119
Practice Fax: 206-725-8829

1528120441 — TUAN MY LIEU MD MEDICAL OFFICE
Practice Location Address:

4739 1-2 RAINIER AVENUE SOUTH
SEATTLE, WA
98118-1657

Practice Phone: 206-725-0119
Practice Fax: 206-725-8829

1801910443 — JAMES TODD FREDERICK D.C.
Practice Location Address:

4739 RAINIER AVE S
SEATTLE, WA
98118-1657

Practice Phone: 206-721-1827
Practice Fax:

1831219559 — DR. PAUL YUJI HASEGAWA D.D.S.
Practice Location Address:

4743 RAINIER AVE S
SEATTLE, WA
98118-1657

Practice Phone: 206-723-3340
Practice Fax: 206-723-3348

1073084935 — DR. ANN MARIE ROEPKE PH.D.
Practice Location Address:

4741 RAINIER AVE S
SEATTLE, WA
98118-1657

Practice Phone: 267-901-4183
Practice Fax:

1982460952 — VILLAGE WITCH THERAPY PLLC
Practice Location Address:

4741 RAINIER AVE S
SEATTLE, WA
98118-1657

Practice Phone: 206-659-7588
Practice Fax: 888-796-4762

Directions to “ FRED ISAMU HASEGAWA D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.