Individual
CLAIRE T ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
908 JEFFERSON ST, SUITE 101, SEATTLE, WA 98104-2433
(206) 897-4774
(206) 386-2515
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289849
L&I
WA
05
—
1073552626
—
WA
Enumeration date
06/06/2006
Last updated
12/27/2012
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