Individual
DR. TARA CAITLIN MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(206) 575-2598
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(571) 331-0104
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61234449
WA
208M00000X
Hospitalist Physician
MD61234449
WA
Other
Enumeration date
06/12/2012
Last updated
05/15/2023
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