Individual
MRS. MELISSA HACKBARTH PAYSON
Active
Individual
MRS. MELISSA HACKBARTH PAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10005049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214277
LNI
WA
05
—
1306877477
—
WA
01
—
G8862909
MEDICARE PTAN
WA
Enumeration date
07/06/2006
Last updated
06/11/2026
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