# MR. GAVIN O'HARA HITCHCOCK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609851534
- **Gender:** Man
- **Credential:** APRN, FNP, CRNA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | AP60796420 | WA | Yes |
| 363LF0000X | Family Nurse Practitioner | 482242, 11412 | CA | — |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 11/05/2019