Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD 00049311 | WA |
Y | 207RI0011X | Interventional Cardiology | MD 00049311 | WA |
NPI | 1093762106 |
---|---|
Provider Name | Dr. Scott J Haugen |
First Address | Bellevue, WA 98004-8578 |
Second Address | Bellevue, WA 98004-8578 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
59879840 | (05) | CO |
8543381 | (05) | WA |
G8881458 | MEDICARE PIN (01) | WA |
G8881459 | MEDICARE PIN (01) | WA |
H96499 | (02) | CO |