Most Relevant Information
Provider Data
| NPI Number: | 1003213166 |
| Provider Name: | AUSTIN G HOGLAND PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 60518925 |
Most Important Dates
| Enumeration Date: | 12/04/2014 |
| Last Updated: | 06/07/2016 |
Provider Practice Location
660 SW 39TH ST
SUITE 150
RENTON
WA
980574912
Practice Location Phone/Fax
| Phone: | 4257934700 |
| Fax: | 4252514302 |
Provider Mailing Location
PO BOX 59028
RENTON
WA
980582028
Provider Mailing Phone/Fax
| Phone: | 4252515110 |
| Fax: | 4257934707 |