Healthcare Provider Details

I. General information

NPI: 1114836178
Provider Name (Legal Business Name): JASON LESTER CAAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3029 WHEATON WAY
BREMERTON WA
98310-3435
US

IV. Provider business mailing address

108 ACORN ST
BREMERTON WA
98310-2008
US

V. Phone/Fax

Practice location:
  • Phone: 360-228-8798
  • Fax:
Mailing address:
  • Phone: 360-228-8798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberCAAR.CG.700016477
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: