STACEY L. HILES M.D. PLLC NPI 1093963795

NPI Information

  • NPI: 1093963795
  • Provider Name: STACEY L. HILES, M.D., PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 17900 TALBOT RD S
    SUITE 101
    RENTON, WA
    ZIP 98055
  • Phone: (425) 235-9614

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NPI Details

STACEY L. HILES, M.D., PLLC is a primary care clinic center in Renton, WA. STACEY L. HILES, M.D., PLLC NPI is 1093963795. The provider is registered as an organization entity type.

The provider's business location address is:

17900 TALBOT RD S
SUITE 101
RENTON, WA
ZIP 98055-212
Phone: (425) 235-9614
Fax: (425) 235-1060

The provider's authorized official is Stacey L. Hiles .
The authorized official title is Family Practice Physician and has the following contact phone number (425) 235-9614.

The enumeration date for this NPI number is 9/5/2008 and was last updated on 12/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care60021347WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11126143MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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