Provider Demographics
NPI:1386652063
Name:DAWSON, ERIN MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MICHELLE
Last Name:DAWSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9621 RIDGETOP BLVD NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8502
Mailing Address - Country:US
Mailing Address - Phone:360-782-3001
Mailing Address - Fax:
Practice Address - Street 1:450 S KITSAP BLVD STE 250
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-3739
Practice Address - Country:US
Practice Address - Phone:360-782-3000
Practice Address - Fax:360-782-3040
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60095079207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004DAOtherREGENCE
WA251016OtherLABOR & INDUSTRIES
G8890865Medicare PIN
G8890901Medicare PIN
0004DAOtherREGENCE
G8884176Medicare PIN
G8884175Medicare PIN