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

Individual provider Physician Assistant · NPI 1508263716

Mie Hagiwara, PA-C is a Physician Assistant in Renton, Washington. Qualified in 2014, 12 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4011 Talbot Rd S Ste 300
Renton, WA 98055-5773
Phone: (425) 656-5060
Fax: (425) 656-5047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60509719 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA60509719 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA60509719 (WA)

Record details

NPI number1508263716
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2014
Last updated in NPPESJanuary 31, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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