Individual
MR. BRUCE GARY CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3207 RAINIER AVE S, SEATTLE, WA 98144-6031
(206) 722-2205
(206) 722-5457
Mailing address
13575 NE 54TH PL, BELLEVUE, WA 98005-1037
(206) 722-2205
(206) 722-5457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002391
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038316
WASHINGTON STATE L & I
WA
01
—
5632526
AETNA
WA
01
—
8918109
WASHINGTON STATE CRIME V
WA
01
—
CL3893
REGENCE
WA
05
—
G8334427
—
WA
Enumeration date
09/25/2006
Last updated
01/24/2008
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