Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 108413 | MN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD60482933 | WA |
NPI | 1144462367 |
---|---|
Provider Name | Jason W Dahl |
First Address | Bellingham, WA 98225-1813 |
Second Address | Bellingham, WA 98225-1813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2009 |
Last Update Date | 01/02/2021 |