Individual
MRS. CAROL DILLON MCCAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
930 N. BROADWAY, EVERETT, WA 98201
(425) 317-0310
(425) 317-0303
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
08472
OH
363LF0000X
Family Nurse Practitioner
Primary
AP60107871
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255279
—
WA
05
—
2633270
—
OH
Enumeration date
10/04/2006
Last updated
04/15/2015
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