MEDICARE: PETER A HASHISAKI MD PS

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	174400000X	Specialist	MD0020628	WA

General Provider Information

NPI Number	:	1780866012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER A HASHISAKI MD PS

Provider Business Mailing Address
First Line	:	9023 NE 47TH ST
Second Line	:
City	:	YARROW POINT
State	:	WA
Zip	:	98004-1242
Country	:	US
Telephone Number	:	254-419-3304
Fax Number	:

Provider Business Practice Location 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	:

Authorized Official
Title or Position	:	MD/OWNER
Name	:	PETER HASHISAKI
Credential	:	MD
Telephone Number	:	425-455-8248

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	05/12/2020

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