Individual
JONATHAN KAISER PLOUDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2116 E SECTION ST, MOUNT VERNON, WA 98274-9124
(360) 428-1700
(360) 848-4350
Mailing address
3610 MERIDIAN ST, BELLINGHAM, WA 98225-1732
(360) 318-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045195
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198061
L & I
WA
Enumeration date
08/09/2005
Last updated
04/27/2026
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