Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | MD00045104 | WA |
Y | 207RX0202X | Medical Oncology | MD203674 | OR |
NPI | 1154354967 |
---|---|
Provider Name | Dr. Eiko Klimant |
First Address | Sequim, WA 98382-3045 |
Second Address | Sequim, WA 98382-3045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 14/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H64765 | (02) | WI |