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Individual
CAITLIN CONRAD FIELDS
Active
Individual
CAITLIN CONRAD FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1520985
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609174275
—
WA
05
—
500632857
—
OR
Enumeration date
03/07/2011
Last updated
11/22/2024
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