Individual
DR. JASON MICHAEL DESADIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8324 55TH AVE SE, OLYMPIA, WA 98513-4606
(707) 334-6089
Mailing address
1444 BELMONT PARK RD, OCEANSIDE, CA 92057-5727
(707) 334-6089
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A-13739
CA
207P00000X
Emergency Medicine Physician
DOS - 1264
HI
207P00000X
Emergency Medicine Physician
OP 60163818
WA
Other
Enumeration date
07/02/2007
Last updated
09/13/2022
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