Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD00044176 | WA |
Y | 2080P0202X | Pediatric Cardiologist | MD00044176 | WA |
NPI | 1003979071 |
---|---|
Provider Name | Peter S Hesslein |
First Address | Seattle, WA 98124-8426 |
Second Address | Seattle, WA 98104-1306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 29/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0189723 | LABOR AND INDUSTRIES (01) | WA |
8407348 | (05) | WA |
A94568 | (02) |