Individual provider · Type 1 NPI
John Michael Hautala, MD
Pediatric Adolescent Medicine Physician · Fircrest, WA
NPI number
1174664130
Active
Practice location
1033 Regents Blvd, Suite 102
Fircrest, WA 98466-6045
Fax (253) 565-4552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | MD00019059 (WA) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
8 other providers at this address
- Austin D McMillin DC PSRehabilitation Chiropractor Fircrest, WA NPI 1386977148
- James P. Gagliardi, Dds, PSDental Clinic/Center Fircrest, WA NPI 1316191885
- Belinda Shunk Rone, MDPediatrics Physician Fircrest, WA NPI 1053452607
- Bruce Gerard Davies, MDPediatrics Physician Fircrest, WA NPI 1033250113
- James Patrick Gagliardi, DDSGeneral Practice Dentistry Fircrest, WA NPI 1043281165
- Kariah C. Phillips, MSW, LICSWClinical Social Worker Fircrest, WA NPI 1316128523
- Kyle S. Bristow, LMPMassage Therapist Fircrest, WA NPI 1245508498
- Paul E. Debusschere, MDPediatrics Physician Fircrest, WA NPI 1245217256
About NPI 1174664130
John Michael Hautala, MD's National Provider Identifier is 1174664130, issued on Feb 10, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Fircrest, WA. The record was last updated on Mar 7, 2023.