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Jonathan Clough, LMP
NPI 1992121537 · on the registry since 2014 · sole proprietor
Practice
- Address
- 605 11th Ave Se Ste 202
Olympia, WA 98501 - Phone
- (360) 701-4520
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington