Individual
DR. SCOTT J HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3163
(425) 502-3161
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3163
(425) 502-3161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39842
CO
207RC0000X
Cardiovascular Disease Physician
MD 00049311
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD 00049311
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59879840
—
CO
05
—
8543381
—
WA
01
—
G8881458
MEDICARE PIN
WA
01
—
G8881459
MEDICARE PIN
WA
Enumeration date
05/27/2006
Last updated
04/15/2021
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