Individual
MICHAEL J CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, SUITE BG05, PORTLAND, OR 97213-2933
(503) 215-2392
(503) 215-6918
Mailing address
PO BOX 3178, PORTLAND, OR 97208-3178
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24189
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00464813
RR MEDICARE
OR
Enumeration date
07/03/2006
Last updated
06/02/2008
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