Johnson-Beale, Clotilde Amelia
Johnson-Beale, Clotilde Amelia is an individual health care provider with primary practice located at 505 Ne 87Th Ave Suite 120, Vancouver WA 98664-1989. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Johnson-Beale, Clotilde Amelia can be contacted via phone (360) 892-1635.Contact Information
Primary practice address
505 Ne 87Th Ave Suite 120
Vancouver WA 98664-1989
Phone: (360) 892-1635
Fax: (360) 892-3146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD60273531 | Washington |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD158570 | Oregon |
Profile Details
| NPI number | 1760655575 |
|---|---|
| LBN Legal business name | Johnson-Beale, Clotilde Amelia |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2008 |
| Last updated | Feb 26th, 2013 - about 12 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.
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