Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 60207732 | WA |
Y | 2080P0216X | Pediatric Rheumatologist | 60207732 | WA |
NPI | 1679736649 |
---|---|
Provider Name | Dr. Clayton John Sontheimer |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 23/05/2018 |