Provider Demographics
NPI:1962015149
Name:HUG, JAMES LEE (DNP, CRNA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LEE
Last Name:HUG
Suffix:
Gender:M
Credentials:DNP, CRNA
Other - Prefix:
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Mailing Address - Street 1:825 SE BISHOP BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5517
Mailing Address - Country:US
Mailing Address - Phone:509-336-7725
Mailing Address - Fax:509-538-5919
Practice Address - Street 1:825 SE BISHOP BLVD STE 140
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5517
Practice Address - Country:US
Practice Address - Phone:509-336-7725
Practice Address - Fax:509-715-2132
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAPRN-240917367500000X
ID65553367500000X
WAAP61494495367500000X
OR10021888367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty