Provider Demographics
NPI:1609940386
Name:CLAUDSON, T MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:T
Middle Name:MICHAEL
Last Name:CLAUDSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22620 SE 4TH STREET
Mailing Address - Street 2:SUITE #200
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22620 SE 4TH STREET
Practice Address - Street 2:SUITE #200
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074
Practice Address - Country:US
Practice Address - Phone:425-836-5407
Practice Address - Fax:425-836-5557
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00036680208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics