# DR. JOHN C MCCREARY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275556664
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD24565 | OR | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 10/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050035604 | RR MEDICARE | OR |
| 05 | — | 1275556664 | — | ID |
| 05 | — | 1275556664 | — | MT |
| 05 | — | 227006 | — | OR |
| 05 | — | 4160461 00 | — | MD |
| 05 | — | 60127023 | — | CO |
| 05 | — | 8123093 | — | WA |