Individual
PETER C. A. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5307
(206) 520-5620
Mailing address
PO BOX 50095, SEATTLE, WA 98145
(206) 520-5307
(206) 520-5620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005302
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8494460
—
WA
Enumeration date
10/09/2007
Last updated
04/23/2009
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