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Contact Information

CLAYT0N AUGUSTINE
2210 N ELDORADO AVE
KLAMATH FALLS, OR97601-6418
 Phone: 541-883-1030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for CLAYT0N AUGUSTINE · (Male)

NPI Number 1457723637
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2015
Last updated 10/27/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
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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