Individual
PAUL HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
PENINSULA COMMUNITY HEALTH SERVICES, 400 WARREN AVE, SUITE 200, BREMERTON, WA 98337
(360) 478-2366
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61039322
WA
Other
Enumeration date
01/07/2019
Last updated
04/03/2020
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