Individual
DR. JEREMY JASON CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2525 NE 139TH ST STE 150, VANCOUVER, WA 98686-2719
(360) 397-3970
(360) 604-1671
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00002253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045250
—
WA
01
—
P00425775
RR MEDICARE
WA
Enumeration date
08/30/2006
Last updated
06/22/2020
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