1104237064 NPI number — MR. FRANCOIS CLOUTIER MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104237064 NPI number — MR. FRANCOIS CLOUTIER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CLOUTIER
Provider First Name:
FRANCOIS
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104237064
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
12/17/2014
NPI Reactivation Date:
01/27/2015

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
550 17TH AVENUE, SUITE 540
Provider Second Line Business Mailing Address:
SWEDICH CHERRY HILL
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98122
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-320-4488
Provider Business Mailing Address Fax Number:
206-320-8149

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
550 17TH AVE, SUITE 540
Provider Second Line Business Practice Location Address:
SWEDISH CHERRY HILL - CENTER FOR HEARING AND SKULL BASE
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-320-4488
Provider Business Practice Location Address Fax Number:
206-320-8149
Provider Enumeration Date:
05/14/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207YX0905X , with the licence number:  MA60434200 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)