Individual
JAMES P MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1919 LINCOLN WAY STE 415, COEUR D ALENE, ID 83814-2527
(208) 625-4595
(208) 625-4596
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1055
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127912
STATE L&I
WA
05
—
8348948
—
WA
01
—
8902561
STATE CRIME VICTIMS
WA
01
—
970007233
RAILROAD
WA
Enumeration date
10/03/2006
Last updated
07/24/2025
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