Individual
AUSTIN G HOGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
660 SW 39TH ST, SUITE 150, RENTON, WA 98057-4912
(425) 793-4700
(425) 251-4302
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60518925
WA
363AM0700X
Medical Physician Assistant
PA60518925
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
12/04/2014
Last updated
06/07/2016
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