Individual
CHRISTOPHER MACCAUSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
914 S SCHEUBER RD, PROVIDENCE CENTRALIA HOS- EKG, CENTRALIA, WA 98531-9027
(360) 736-2803
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP60385974
WA
208M00000X
Hospitalist Physician
OP60385974
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2009
Last updated
03/13/2014
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