Individual
CLIFFORD J SCHOSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 636-4814
(360) 414-7965
Mailing address
PO BOX 249, LONGVIEW, WA 98632-7154
(360) 414-2048
(360) 575-6749
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00018165
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099845
—
WA
01
—
146052
LABOR & IND.
WA
05
—
222844
—
OR
01
—
8929331
CRIME VICTIMS
WA
Enumeration date
08/11/2005
Last updated
07/09/2007
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