Individual
DANIEL J HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10004 204TH AVE E # 1200, BONNEY LAKE, WA 98391-6539
(253) 848-5951
(253) 845-7073
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8487969
—
WA
01
—
G8951471
MEDICARE PTAN
WA
Enumeration date
12/27/2006
Last updated
01/02/2020
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