Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dwight Christian Tan, PA-C

Individual provider Physician Assistant · NPI 1255052676

Dwight Christian Tan, PA-C is a Physician Assistant in Longview, Washington. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Erwin Rd, Durham, NC 27705-4699 — (919) 684-8111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61342488 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1255052676
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 5, 2022
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Longview