Individual
CLIFFORD JONATHAN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
9040A JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
8409 54TH AVE SE, OLYMPIA, WA 98513-4618
(805) 444-0321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61327842
WA
Other
Enumeration date
08/04/2022
Last updated
08/31/2023
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