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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON HAUTALA

Active

Child & Adolescent Psychiatric Nurse · SHELTON, WA

Registration Details

NPI Number
1750927836
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2019 (6.4461189652441 yrs)
Last Updated
Nov 22, 2019
License
RN00123238 (WA)

Practice Information

Address
307 W COTA ST
SHELTON, WA, 985842265
Browse WA providers · Browse ZIP 98584
Phone
3606663808
Fax
5102176559
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in SHELTON, WA

Name Credential NPI
KRISTOFER ALSTON RN 1710523568
BABYNETTE W CARAS RN 1619514700
MRS. KATHLEEN MARIE JONES ANTHONY RN 1316618507
GEORGE MAKORI 1316606767
SHANNON L PAINE RN 1902519366
CATHY LAM 1467329219
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.