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Individual

CLAYTON ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3022 E 57TH AVE STE 19, SPOKANE, WA 99223-7033
(509) 443-9323
(509) 443-9325
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60565652
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2046396
WA
01
P01853423
RR MEDICARE
WA
Enumeration date
06/30/2015
Last updated
04/03/2018
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