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Organization
MCLOUGHLIN FAMILY PRACTICE GROUP
Active
Organization
MCLOUGHLIN FAMILY PRACTICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MAGISTRALE (EXECUTIVE DIRECTOR)
(360) 750-3220
Entity
Organization
Contact information
Practice address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-0400
(360) 750-3220
(360) 735-3400
Mailing address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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