Healthcare Provider Details

I. General information

NPI: 1104237064
Provider Name (Legal Business Name): FRANCOIS CLOUTIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 01/27/2015
Certification Date:
Deactivation Date: 12/17/2014
Reactivation Date: 01/27/2015

III. Provider practice location address

550 17TH AVE, SUITE 540 SWEDISH CHERRY HILL - CENTER FOR HEARING AND SKULL BASE
SEATTLE WA
98122
US

IV. Provider business mailing address

550 17TH AVENUE, SUITE 540 SWEDICH CHERRY HILL
SEATTLE WA
98122
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-4488
  • Fax: 206-320-8149
Mailing address:
  • Phone: 206-320-4488
  • Fax: 206-320-8149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberMA60434200
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: