Individual
DR. JARED T CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
820 MEMORIAL ST STE 3, PROSSER, WA 99350-2504
(509) 786-5599
(509) 788-0488
Mailing address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-5599
(509) 788-0488
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00361
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306897681
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON CO.
WA
05
—
277935
—
OR
05
—
8478547
—
WA
Enumeration date
04/12/2006
Last updated
06/02/2021
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