Individual
BAILEY HASENBALG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
21723 65TH AVENUE CT E, SPANAWAY, WA 98387-5878
(253) 306-7786
Mailing address
21723 65TH AVENUE CT E, SPANAWAY, WA 98387-5878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61500041
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2019
Last updated
06/30/2024
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