Provider Demographics
NPI:1033009188
Name:PACIFIC PEER CONNECTION
Entity type:Organization
Organization Name:PACIFIC PEER CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:BISSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-221-6656
Mailing Address - Street 1:PO BOX 11004
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96828-0004
Mailing Address - Country:US
Mailing Address - Phone:808-221-6656
Mailing Address - Fax:
Practice Address - Street 1:6301 PALI HWY
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-5224
Practice Address - Country:US
Practice Address - Phone:808-221-6656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty