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Individual

JASON F KEARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 NE 92ND AVE, VANCOUVER, WA 98664-3225
(360) 514-2142
(360) 514-6820
Mailing address
PO BOX 5037, UNIT 282, PORTLAND, OR 97208-5037
(360) 514-2142
(360) 514-6820

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00039366
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278162
OR
05
8276883
WA
Enumeration date
05/20/2006
Last updated
12/06/2007
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