Individual
PATRICK J HOGAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5006 CENTER ST STE U, TACOMA, WA 98409-2314
(253) 284-4488
(253) 272-4771
Mailing address
5006 CENTER ST STE U, TACOMA, WA 98409-2314
(253) 284-4488
(253) 272-4771
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OP00000793
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13162
STATE L & I
—
01
—
911370954
PREMERA BC
—
01
—
GH047945001
GROUP HEALTH
—
01
—
H02398
REGENCE BS
—
Enumeration date
06/30/2005
Last updated
03/06/2024
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