Individual
DR. KIMO C HIRAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 8TH AVE S, SUITE 100, SEATTLE, WA 98104-3032
(206) 788-3700
(206) 652-5216
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3616
(206) 652-5216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00025796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010103
—
WA
01
—
129664
L&I
WA
01
—
4457053
AETNA
—
05
—
8112484
—
WA
01
—
HI4398
REGENCE BLUESHIELD
—
Enumeration date
09/07/2006
Last updated
12/03/2020
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