Individual
MR. ALEXANDER TABAYOYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2979 SQUALICUM PKWY STE 203, BELLINGHAM, WA 98225
(360) 733-7670
Mailing address
2979 SQUALICUM PKWY STE 203, BELLINGHAM, WA 98225-1813
(360) 733-7670
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA60829823
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60829823
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097003
—
WA
Enumeration date
05/18/2016
Last updated
02/01/2021
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