Healthcare Provider Details

I. General information

NPI: 1679504559
Provider Name (Legal Business Name): JAMES ONORATO M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 HIGHLAND AVE
CLARKSTON WA
99403-2836
US

IV. Provider business mailing address

PO BOX 189
CLARKSTON WA
99403-0189
US

V. Phone/Fax

Practice location:
  • Phone: 509-758-5511
  • Fax:
Mailing address:
  • Phone: 509-758-5511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK3367
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberK3367
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: