Individual
MICHAEL A CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 GEORGIANA ST, PORT ANGELES, WA 98362-3511
(360) 457-8534
(360) 457-9741
Mailing address
835 GEORGIANA ST, PORT ANGELES, WA 98362-3511
(360) 457-8534
(360) 457-9741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000985
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002898
—
WA
Enumeration date
11/09/2006
Last updated
04/17/2015
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