Individual
CATHERINE A HARTJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1802 S UNION AVE, STE 200, TACOMA, WA 98405-1947
(253) 752-6965
(253) 759-6056
Mailing address
1802 S UNION AVE, STE 200, TACOMA, WA 98405-1947
(253) 752-6965
(253) 759-6056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA10000230
WA
363AM0700X
Medical Physician Assistant
PA60895931
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200260
LABOR & INDUSTRIES
WA
01
—
6450ST
REGENCE BCBS
WA
Enumeration date
10/05/2005
Last updated
10/12/2018
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