Provider Demographics
NPI:1194777805
Name:HUGHES, ALLISON LESLIE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:LESLIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 82ND AVE SE
Mailing Address - Street 2:STE 210
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3055
Mailing Address - Country:US
Mailing Address - Phone:206-236-3030
Mailing Address - Fax:
Practice Address - Street 1:2835 82ND AVE SE
Practice Address - Street 2:STE 210
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3055
Practice Address - Country:US
Practice Address - Phone:206-236-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301079783207N00000X
WAMD00044994207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI201981170OtherWAUSAU
MI201981170OtherHARRINGTON BENEFITS
MI010E018410OtherBCBSM
MI7729795OtherAETNA
MI201981170OtherWAUSAU