Individual
MR. GAVIN O'HARA HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP, CRNA
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431-0001
(253) 968-2235
Mailing address
9040 JACKSON AVENUE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
AP60796420
WA
363LF0000X
Family Nurse Practitioner
482242, 11412
CA
Other
Enumeration date
12/14/2005
Last updated
11/05/2019
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