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Contact Information

CLEMENT P LE THANH
320 S KITSAP BLVD
PORT ORCHARD, WA98366
 Phone: 360-876-7215
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CLEMENT P LE THANH · (Male)

NPI Number 1386749281
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 02/20/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00046845
  • WA Medicaid 8465742
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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