Individual
DR. JASON HIBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST # NW011, SEATTLE, WA 98195-0341
(206) 598-5130
Mailing address
1959 NE PACIFIC STREET NW011 BOX 357115, SEATTLE, WA 98195-7115
(206) 598-5130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD61315668
WA
2085R0202X
Diagnostic Radiology Physician
MED-PHYS-LIC-126613
MT
Other
Enumeration date
06/10/2012
Last updated
04/18/2025
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