Individual
MR. CLARK MORRIS HATHEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12910 TOTEM LAKE BLVD NE STE 101, KIRKLAND, WA 98034-2901
(425) 814-5000
Mailing address
12910 TOTEM LAKE BLVD NE STE 101, KIRKLAND, WA 98034-2901
(425) 814-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61263733
WA
Other
Enumeration date
04/08/2019
Last updated
08/05/2022
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