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Individual

JESSE A MCCARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 803-0847
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 803-0847

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD151775
OR
207X00000X
Orthopaedic Surgery Physician
Primary
MD60631095
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457466658
WA
Enumeration date
08/20/2006
Last updated
11/21/2025
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