Individual
DR. CLIFTON CASSIDY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 545-2203
Mailing address
PO BOX 1247, MS1322-2-EFM, PUYALLUP, WA 98371-0192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60627578
WA
208M00000X
Hospitalist Physician
OP60627578
WA
Other
Enumeration date
04/18/2014
Last updated
10/07/2020
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