# JASON ANDREW PATES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376742346
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 60305 | MN | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD60080627 | WA | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 60305 | MN | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | M-12184 | ID | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 03/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2010237 | — | WA |