| Jack Hostetler, | |
|
1200 W Fairview St, Colfax, WA 99111-9552 | |
| (509) 397-3435 | |
| Not Available |
| Full Name | Jack Hostetler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1200 W Fairview St, Colfax, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659259638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Hostetler, Po Box 172, Oakesdale, WA 99158-0172 Ph: () - | Jack Hostetler, 1200 W Fairview St, Colfax, WA 99111-9552 Ph: (509) 397-3435 |
Morganne Hamann, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 | |
Ms. Raylene Lawrence, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 Fax: 509-397-3501 |