Individual
THERESA L CLAYTON
Active
Individual
THERESA L CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00028710
WA
207W00000X
Ophthalmology Physician
MD14760
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8134983
—
WA
01
—
MD00028710
LICENSE
WA
Enumeration date
02/17/2006
Last updated
01/02/2019
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