Individual
DR. JASON T. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1525 OAK PARK BLVD, LAKE CHARLES, LA 70601-8849
(337) 494-2023
(337) 430-6966
Mailing address
2005 W MAIN ST, BATTLE GROUND, WA 98604-4311
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD70015999
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2022
Last updated
09/03/2025
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