Individual
JONATHAN ANDREW CARGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
10600 SE MCLOUGHLIN BLVD STE 207, MILWAUKIE, OR 97222-7428
(844) 601-0720
Mailing address
8701 E MILL PLAIN BLVD APT 86, VANCOUVER, WA 98664-2577
(509) 873-2101
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-2247
OR
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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