Individual provider · Type 1 NPI

Mie Hagiwara, PA-C

Surgical Physician Assistant · Renton, WA

NPI number 1508263716 Active

Practice location

4011 Talbot Rd S, Suite 300
Renton, WA 98055-5773

Call (425) 656-5060 Map

Fax (425) 656-5047

Mailing address

805 Madison St, Suite 901
Seattle, WA 98104-1172

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60509719 (WA)
Medical Physician Assistant 363AM0700XPA60509719 (WA)
Surgical Physician Assistant Primary 363AS0400XPA60509719 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1508263716

Mie Hagiwara, PA-C's National Provider Identifier is 1508263716, issued on Dec 3, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Renton, WA. The record was last updated on Jan 31, 2017.