MEDICARE: DAWN MICHELE MASON PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60909981	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9871959	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033685169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN MICHELE MASON PMHNP-BC

Provider Business Mailing Address
First Line	:	26 E 5TH AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-1309
Country	:	US
Telephone Number	:	509-747-5615
Fax Number	:	509-747-5133

Provider Business Practice Location Address
First Line	:	1403 S GRAND BLVD STE 201S
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2278
Country	:	US
Telephone Number	:	509-253-3577
Fax Number	:	509-253-3578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	05/19/2026

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