Individual
CLAYTON DAVID HACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60147691
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0017837
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
02/04/2011
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