Clayton, Theresa L
Clayton, Theresa L is an individual health care provider with primary practice located at 3200 Main Street , Vancouver WA 98663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Clayton, Theresa L can be contacted via phone (360) 696-4691.Contact Information
Primary practice address
3200 Main Street
Vancouver WA 98663
Phone: (360) 696-4691
Fax: (360) 823-2260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD14760 | Oregon |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD00028710 | Washington |
Profile Details
| NPI number | 1619942265 |
|---|---|
| LBN Legal business name | Clayton, Theresa L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jan 2nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619942265 | NPPES |
| Washington | Other | MD00028710 | LICENSE |
| Washington | MEDICAID | 8134983 | LICENSE |
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