Provider Demographics
NPI:1043967623
Name:BJERKESTRAND, HAILEY (PA -C)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:BJERKESTRAND
Suffix:
Gender:F
Credentials:PA -C
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:
Other - Last Name:CATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:123 E INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2313
Mailing Address - Country:US
Mailing Address - Phone:541-505-0559
Mailing Address - Fax:
Practice Address - Street 1:123 E INDIANA AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2313
Practice Address - Country:US
Practice Address - Phone:866-904-7721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant