Individual
DR. JONATHAN J CLABEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 NINTH AVE, SEATTLE, WA 98124-1936
(206) 223-7530
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60097569
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8553984
—
WA
01
—
8890940
MEDICARE PTAN - KITSAP CO
WA
Enumeration date
04/08/2008
Last updated
01/24/2011
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