Individual
JESSE WILLIAM LOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD219726
OR
207PS0010X
Sports Medicine (Emergency Medicine) Physician
MD61642041
WA
Other
Enumeration date
03/30/2020
Last updated
02/13/2025
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