Provider Demographics
NPI:1972965481
Name:HAUSS, ROBERT BRANDON (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BRANDON
Last Name:HAUSS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6442 YAKIMA AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-4599
Mailing Address - Country:US
Mailing Address - Phone:253-459-7270
Mailing Address - Fax:253-472-6833
Practice Address - Street 1:6442 YAKIMA AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-4599
Practice Address - Country:US
Practice Address - Phone:253-459-7270
Practice Address - Fax:253-472-6833
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60965951207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty