Provider Demographics
NPI:1083659841
Name:PASTOR, CLAIRE (MD)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:PASTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 112TH AVE SE STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6901
Mailing Address - Country:US
Mailing Address - Phone:425-462-9511
Mailing Address - Fax:425-462-8894
Practice Address - Street 1:1400 112TH AVE SE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6901
Practice Address - Country:US
Practice Address - Phone:425-462-9511
Practice Address - Fax:425-462-8894
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000366172084P0800X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB16198OtherUWP MEDICARE
8804321OtherHMC MEDICARE
WA8256323Medicaid
WAH2133Medicare UPIN
WA8858144Medicare ID - Type Unspecified