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Individual

MS. JOYCE M HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400
Mailing address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003992
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4042HO
REGENCE
WA
05
8324782
WA
Enumeration date
08/02/2006
Last updated
04/13/2021
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