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Organization
LACAMAS MEDICAL GROUP PC
Active
Organization
LACAMAS MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT JONASON (PRESIDENT)
(360) 838-2440
Entity
Organization
Contact information
Practice address
3240 NE 3RD AVE, CAMAS, WA 98607-2408
(360) 838-2440
Mailing address
3240 NE 3RD AVE, CAMAS, WA 98607-2408
(360) 838-2440
(360) 838-2450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7117096
—
WA
Enumeration date
08/08/2006
Last updated
04/21/2015
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