Individual
CLEA CAMILLA HIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
118 17TH AVE E, #2, SEATTLE, WA 98112-5214
(206) 322-4240
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007598
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235331489
—
WA
05
—
1265331489
—
WA
Enumeration date
06/01/2007
Last updated
05/05/2016
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