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Individual

MR. JOSH SHANE HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SUDP

Contact information

Practice address
4301 HOYT AVE, EVERETT, WA 98203-2316
(877) 522-1275
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60297518
WA

Other

Enumeration date
08/01/2011
Last updated
12/15/2021
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