Individual
CAMILLE MELINDA CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12911 120TH AVE NE, SUITE H-210, KIRKLAND, WA 98034-3027
(425) 823-4000
(425) 821-3550
Mailing address
805 MADISON STREET, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60010627
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
244646
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0240111
LNI
WA
05
—
8532848
—
WA
01
—
G8875987
MEDICARE EOC
WA
01
—
G8876689
MEDICARE EASTSIDE MRI
WA
01
—
P00629119
MEDICARE RR KING CO.
WA
Enumeration date
05/27/2008
Last updated
11/15/2012
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