Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Michael Hautala, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1174664130

Dr. John Michael Hautala, MD is a Pediatric Adolescent Medicine Physician in Fircrest, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1033 Regents Blvd Ste 102
Fircrest, WA 98466-6045
Phone: (253) 564-1115
Fax: (253) 565-4552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence MD00019059 (WA)

Record details

NPI number1174664130
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 10, 2007
Last updated in NPPESMarch 7, 2023
Mailing address1033 Regents Blvd, Suite 102, Fircrest, WA 98466-6045