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General NPI Number Information
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NPI Number | 1447614235
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Entity Type | Individual
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Provider Name | KATHERINE ALEXIS JONG MD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 232 A ST # C3
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-9595
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Country | US
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Telephone | 206-486-6467
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Fax |
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Provider Business Mailing Address
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Address Line | 685 SPRING ST # 222
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-8058
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Country | US
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Telephone | 206-486-6467
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Fax | 917-900-1571
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | MD60872419
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MED-PHYS-LIC-88296
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | A177932
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60872419
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A177932
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License Number State | CA
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