Individual provider Active NPI

Haley Christine O'Hora, PA-C

  • Medical Physician Assistant
  • Puyallup, WA
National Provider Identifier
1073132916
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61521364 Issued in WA
Practice address
15214 Canyon Rd E Ste 120
Puyallup, WA 98375-7457
Phone
(253) 539-6078
Fax
(253) 539-6045
NPI assigned
Apr 10, 2020
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61521364 WA Primary
Physician Assistant 363A00000X 5601010204 MI

Addresses

Primary practice location

15214 Canyon Rd E Ste 120
Puyallup, WA 98375-7457

Mailing address

15214 Canyon Rd E Ste 120
Puyallup, WA 98375-7457
Phone (253) 539-6078

Other identifiers 1

IdentifierTypeStateIssuer
2295656MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210112002247 MI Practitioner - Physician Assistant 3072926054 Reassigns benefits to 1 organization
I20240911002485 WA Practitioner - Physician Assistant 3072926054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Childrens HospitalGroup PAC ID 9032021050, 113 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 987-2000

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as apm
Quality
89.39
Promoting interoperability
85.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.01
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital CurrentSince Aug 13, 2025 Accepting new patients
Seattle Childrens Hospital CurrentSince Aug 13, 2025 Accepting new patients
Franciscan Medical Group CurrentSince Aug 12, 2024 Accepting new patients
Franciscan Medical Group CurrentSince Aug 12, 2024 Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Franciscan Medical Group Physician Assistant Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Alliance Physician Services of Michigan, P.C. PastSince Oct 29, 2023 Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

9230 Sky Island Dr E
Stop 1201
Bonney Lake, WA 98391

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

450 S Kitsap Blvd
Ste 100
Port Orchard, WA 98366
Phone (360) 744-6275

15214 Canyon Rd E
Ste 120
Puyallup, WA 98375
Phone (253) 539-4200

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

3556 Market Pl W
Ste 109
University Place, WA 98466
Phone (253) 215-1095

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1073132916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 CANYON RD E STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983757457",
            "telephone_number": "253-539-6078",
            "fax_number": "253-539-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15214 CANYON RD E STE 120",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983757457",
            "telephone_number": "253-539-6078",
            "fax_number": "253-539-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HORA",
        "first_name": "HALEY",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61521364",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2295656",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.