Organization
JIM MCCAULEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM MCCAULEY MD (OWNER)
(731) 571-3491
Entity
Organization
Contact information
Practice address
427 TANAGER DR, REDMOND, OR 97756-8389
(541) 420-9482
(541) 323-3794
Mailing address
427 TANAGER DR, REDMOND, OR 97756-8389
(541) 420-9482
(541) 323-3794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20134
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083662
—
OR
Enumeration date
03/10/2017
Last updated
03/10/2017
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