JASON HAUTALA
NPI 1750927836
Registered Nurse - Psychiatric/Mental Health in Shelton, WA

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.

Active since November 22, 2019

307 W COTA ST, SHELTON, WA 98584(360) 666-3808(510) 217-6559 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jason Hautala NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON HAUTALA (NPI 1750927836) is an individual psychiatric/mental health provider in Shelton, Washington, licensed in Washington (RN00123238) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1750927836

Entity TypeIndividualMale

Primary Taxonomy163WP0808X

Provider Legal NameJASON HAUTALA

Location Address307 W COTA STShelton, WA 98584-2265

Mailing Address307 W Cota StShelton, WA 98584-2265 · (360) 666-3808 · Fax (510) 217-6559

Phone(360) 666-3808

Fax(510) 217-6559

Sole ProprietorNo

Enumeration DateNovember 22, 2019

✔ NPI 1750927836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers

Taxonomy Code163WP0808X

License✔ Licensed in WA · RN00123238

307 W COTA ST, Shelton, WA 98584

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICAELA JAYNE BAKER

Counselor (Addiction (Substance Use Disorder))