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Jason Hautala
Psychiatric/Mental Health Registered Nurse in Shelton, Washington
NPI 1750927836

Jason Hautala is a Psychiatric/Mental Health Registered Nurse based in Shelton, WA and is specialized in Psychiatric/Mental Health. Jason Hautala practices in Shelton, WA. The NPI Number for Jason Hautala is 1750927836 and holds a License No. RN00123238 (Washington).

The current practice location address for Jason Hautala is 307 W Cota St, Shelton, WA and can be reached out via phone at 360-666-3808 and via fax at 510-217-6559.

Location: 307 W Cota St, Shelton, WA, 98584-2265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750927836
Provider Name
Jason Hautala
Credential
Provider Entity Type
Individual
Gender
Male
Address
307 W Cota St, Shelton, WA, 98584-2265
Phone Number
360-666-3808
Fax Number
510-217-6559
Provider Enumeration Date
11/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
307 W Cota St
City
Shelton
State
Washington
Zip
98584-2265
Phone Number
360-666-3808
Fax Number
510-217-6559
person
Provider Business Mailing Address Details
Address
307 W Cota St
City
Shelton
State
Washington
Zip
98584-2265
Phone Number
360-666-3808
Fax Number
510-217-6559
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
RN00123238 (Washington)
Definition
Definition to come...
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