Individual
DR. JONATHAN E.G. MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3705 S MERIDIAN STE B, PUYALLUP, WA 98373-3709
(253) 765-5050
(415) 252-7176
Mailing address
3705 S MERIDIAN STE B, PUYALLUP, WA 98373-3709
(253) 765-5050
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00046768
WA
207Q00000X
Family Medicine Physician
MD26965
OR
208D00000X
General Practice Physician
MD00046768
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028419
—
OR
05
—
1038955
—
WA
Enumeration date
09/20/2006
Last updated
04/17/2025
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