Individual
TYSON J. HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4545 CORDATA PKWY STE 2AAND2B, BELLINGHAM, WA 98226-7263
(360) 738-2200
(360) 752-5682
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60278625
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0295717
L&I AND CRIME VICTIMS
WA
05
—
1356570923
—
WA
Enumeration date
07/05/2009
Last updated
01/15/2025
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