Provider Demographics
NPI:1205137775
Name:HASHIMOTO, SCOTT HIROSHI (OT)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:HIROSHI
Last Name:HASHIMOTO
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14004 ASH WAY
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-2021
Mailing Address - Country:US
Mailing Address - Phone:425-742-7404
Mailing Address - Fax:
Practice Address - Street 1:6100 219TH ST SW
Practice Address - Street 2:SUITE 400
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2222
Practice Address - Country:US
Practice Address - Phone:425-778-2400
Practice Address - Fax:425-778-8545
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001249225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist