Individual
CAITLIN R MACCOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 FORD RD, JOHN DAY, OR 97845-2009
(206) 386-6111
Mailing address
180 FORD RD, JOHN DAY, OR 97845-2009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD187953
OR
207Q00000X
Family Medicine Physician
MD60938324
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376906586
—
WA
Enumeration date
04/04/2016
Last updated
07/22/2021
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