Individual
DR. JOHN CLEMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00031112
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00031112
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0348930
L & I - RADIA-REST OF WA
WA
01
—
0348932
L & I - RADIA-KING COUNTY
WA
01
—
0348933
L & I - SWEDISH RADIA
WA
01
—
0348935
L & I - EVERGREEN RADIA
WA
05
—
1000592
—
WA
01
—
109454
L&I
WA
01
—
300068357
RAILROAD MEDICARE
—
01
—
4484036
AETNA
—
05
—
8149999
—
WA
01
—
8919559
CRIME VICTIMS
—
01
—
CL5689
REGENCE
—
Enumeration date
02/17/2006
Last updated
03/20/2017
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