Provider Demographics
NPI:1588671317
Name:JONES, KARIN E (PA-C)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:E
Last Name:JONES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:E
Other - Last Name:WEIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2835 HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2611
Mailing Address - Country:US
Mailing Address - Phone:360-223-4561
Mailing Address - Fax:206-326-2870
Practice Address - Street 1:2835 HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2611
Practice Address - Country:US
Practice Address - Phone:360-223-4561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10003823363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA41382UOtherREGENCE BLUE SHIELD PIN
WA8417792Medicaid
WA0205787OtherL&I PIN
WA1535WEOtherREGENCE BLUE SHIELD PIN
WA1535WEOtherREGENCE BLUE SHIELD PIN
WA41382UOtherREGENCE BLUE SHIELD PIN