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Individual

CAITLIN K MCCARTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1810 E 19TH ST, SUITE 225, THE DALLES, OR 97058-3388
(541) 296-6101
(541) 296-0025
Mailing address
1810 E 19TH ST, SUITE 225, THE DALLES, OR 97058-3388
(541) 296-6101
(541) 296-0025

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD170815
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500693766
OR
Enumeration date
06/24/2010
Last updated
04/05/2016
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