Individual
DEIDRE ANN MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 673-0611
Mailing address
PO BOX 94383, SEATTLE, WA 98124-6683
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD23775
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287062
—
OR
Enumeration date
06/13/2006
Last updated
03/09/2015
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