Dwight C. Tan, PA-C
Physician Assistant · Longview, WA
UnclaimedPA-CNPI 1255052676
- Primary taxonomy
- 363A00000X
- Enumerated
- 2022-09-05
- Practice location
- Longview, WA
- Last NPPES update
- 2022-10-11
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant Temporary PermitExpiredthrough 2022
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.