Individual
JESSICA KAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1767
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18507
PR
207R00000X
Internal Medicine Physician
DO151904
OR
207R00000X
Internal Medicine Physician
Primary
OP60670612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014436
—
WA
Enumeration date
06/23/2008
Last updated
08/01/2017
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