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NPI Code Detail

MEDICARE: DR. JONATHAN PROULX MD

MEDICARE: DR. JONATHAN PROULX MD
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
1207RH0003XHematology & Oncology PhysicianMD26071ME
2207RH0003XHematology & Oncology Physician22815NH
3207RH0003XHematology & Oncology PhysicianMD61686505WA

General Provider Information

NPI Number : 1518320837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN PROULX MD
Provider Business Mailing Address
First Line : 3301 SQUALICUM PKWY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1919
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3301 SQUALICUM PKWY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-1919
Country : US
Telephone Number : 360-788-8222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 12/10/2025

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Directions to “ DR. JONATHAN PROULX MD” Practice Location

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