Individual
DR. TIM A CLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13030 121ST WAY NE, SUITE 102, KIRKLAND, WA 98034-7210
(425) 814-2800
(425) 823-0882
Mailing address
13030 121ST WAY NE, SUITE 102, KIRKLAND, WA 98034-7210
(425) 814-2800
(425) 823-0882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189969
LABOR & INDUSTRIES
WA
01
—
192264900
FEDERAL WORKER'S COMP
—
01
—
4011CL
REGENCE BLUE SHIELD
—
05
—
8423345
—
WA
Enumeration date
08/24/2005
Last updated
02/19/2018
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