Lisa Marie Hoffman Hasse | Kirkland, WA • PECOS Search

Lisa Marie Hoffman Hasse

Counselor

Behavioral Health & Social Service Providers

12025 115th Ave NE Ste 200, Kirkland, WA 98034-6935

(425) 821-1810 (425) 773-2177

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa Marie Hoffman Hasse does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356790430
Provider Type
Individual
Full Name
Hasse, Lisa Marie Hoffman
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/8/2016
Last Updated
6/8/2016

Contact Information

Practice Location

12025 115th Ave NE Ste 200, Kirkland, WA 98034-6935

(425) 823-1231

Mailing Location

1813 175th Pl NE, Bellevue, WA 98008-3129

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer