Individual
JASON AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19434 SE 30TH ST, CAMAS, WA 98607-9437
(360) 624-0416
Mailing address
19434 SE 30TH ST, CAMAS, WA 98607-9437
(360) 624-0416
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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