Provider Demographics
NPI:1134140262
Name:HILSENBERG, KARL HERBERT (PA-C)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:HERBERT
Last Name:HILSENBERG
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:805 MADISON STREET
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:3801 5TH STREET SE
Practice Address - Street 2:SUITE 110
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374
Practice Address - Country:US
Practice Address - Phone:253-845-9585
Practice Address - Fax:253-435-4785
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2011-10-18
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Provider Licenses
StateLicense IDTaxonomies
WAPA10000629363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical