MEDICARE: DR. PETER ALAN HASHISAKI M.D.

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	207RI0200X	Infectious Disease Physician	0020628	WA

General Provider Information

NPI Number	:	1063445211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER ALAN HASHISAKI M.D.

Provider Business Mailing Address
First Line	:	9023 NE 47TH ST
Second Line	:
City	:	YARROW POINT
State	:	WA
Zip	:	98004-1242
Country	:	US
Telephone Number	:	425-441-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 116TH AVE NE STE D
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98004-3802
Country	:	US
Telephone Number	:	425-455-8248
Fax Number	:	425-462-1643

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

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/12/2020

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