Provider Demographics
NPI:1144462367
Name:DAHL, JASON W (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:W
Last Name:DAHL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2979 SQUALICUM PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1813
Mailing Address - Country:US
Mailing Address - Phone:360-733-7670
Mailing Address - Fax:952-512-5651
Practice Address - Street 1:2979 SQUALICUM PKWY STE 203
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1813
Practice Address - Country:US
Practice Address - Phone:360-733-7670
Practice Address - Fax:763-520-7580
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2021-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN108413207XS0106X
WAMD60482933207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery