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Individual

MATTHEW HASSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
34617 11TH PL S, FEDERAL WAY, WA 98003
(253) 336-4142
Mailing address
34617 11TH PL S, FEDERAL WAY, WA 98003-8706
(253) 336-4142

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006180
CO
363A00000X
Physician Assistant
PA60807198
WA
363AM0700X
Medical Physician Assistant
PA60807198
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA60807198
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
05/20/2016
Last updated
05/28/2020
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