Individual
DR. CLAYTON JOSEPH OLNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9040 JACKSON, MAMC NICU, TACOMA, WA 98431-0001
(253) 968-0895
Mailing address
9040 JACKSON, MAMC NICU, TACOMA, WA 98431-0001
(253) 968-0895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J6639
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
OP60652225
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044060404
—
TX
Enumeration date
04/14/2006
Last updated
01/24/2022
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