Individual
JORDANA WINN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5679
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5679
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60279199
WA
208000000X
Pediatrics Physician
ML60093774
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296376
L&I AND CRIME VICTIMS
WA
01
—
1881836005
REGENCE BLUE SHIELD
WA
05
—
1881836005
—
WA
Enumeration date
04/02/2009
Last updated
10/08/2012
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