Individual
JUSTIN CLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
818 CONGRESS ST, PORTLAND, ME 04102-3112
(207) 773-8161
Mailing address
818 CONGRESS ST, PORTLAND, ME 04102-3112
(207) 773-8161
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA2306
ME
Other
Enumeration date
05/11/2017
Last updated
04/15/2022
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