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Contact Information

JESSICA R CLABORN, LMP
111 E. MAIN ST.
EVERSON, WA98247
 Phone: 360-966-2700
 Fax: 360-966-2701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JESSICA R CLABORN · (Female)

NPI Number 1194947689
Status Active
Credentials LMP (Licensed Medical Practitioner)
Entity Individual
Enumeration date 05/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MA00023033
  • WA Other 0213521 DEPT. OF L&I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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