Individual
MR. CLINTEN HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
3303 NE 44TH ST, SUITE 2, VANCOUVER, WA 98663-2169
(360) 991-8452
Mailing address
3303 NE 44TH ST, SUITE 2, VANCOUVER, WA 98663-2169
(360) 991-8452
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60542561
WA
Other
Enumeration date
10/02/2015
Last updated
02/08/2017
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