Individual
STEVEN S. CLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
14692 179TH AVE SE STE 400, MONROE, WA 98272-1160
(360) 863-0960
(360) 863-8710
Mailing address
14692 179TH AVE SE STE 400, MONROE, WA 98272-1160
(360) 863-0960
(360) 863-8710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023785
WA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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