Individual
DICK L. HOISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34612 6TH AVE S STE 200, FEDERAL WAY, WA 98003-8723
(253) 833-4050
(253) 735-5083
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00038872
WA
207YX0901X
Otology & Neurotology Physician
MD00038872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222533
LABOR & INDUSTRY
WA
01
—
2425HO
REGENCE
WA
05
—
8255788
—
WA
01
—
9293HO
REGENCE
WA
01
—
P00429931
PALMETTO / RR MEDICARE
WA
Enumeration date
03/07/2006
Last updated
06/01/2022
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