Individual
TYLER HAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDEX NORTHWEST, 4311 11TH AVE NE, SUITE 200, SEATTLE, WA 98105
(206) 616-4001
Mailing address
MEDEX NORTHWEST, 4311 11TH AVE NE, SUITE 200, SEATTLE, WA 98105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0031586
VT
363A00000X
Physician Assistant
PA61115512
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2019
Last updated
09/08/2022
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