MEDICARE: DR. GRANT A DAWSON M.D.

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	208D00000X	General Practice Physician	MD60930360	WA
2	207Q00000X	Family Medicine Physician	257131	MA
3	207P00000X	Emergency Medicine Physician	MD60930360	WA
4	207Q00000X	Family Medicine Physician	0101261567	VA
5	207Q00000X	Family Medicine Physician	10986	NV
6	207Q00000X	Family Medicine Physician	MD60930360	WA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568648749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRANT A DAWSON M.D.

Provider Business Mailing Address
First Line	:	203 S WESTERN AVE
Second Line	:
City	:	TONASKET
State	:	WA
Zip	:	98855-8803
Country	:	US
Telephone Number	:	509-486-2151
Fax Number	:	509-223-1691

Provider Business Practice Location Address
First Line	:	325B KING STREET
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060
Country	:	US
Telephone Number	:	413-387-4100
Fax Number	:	413-387-4119

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

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	03/25/2026

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Directions to “ DR. GRANT A DAWSON M.D.” Practice Location

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