Healthcare Provider Details

I. General information

NPI: 1154354967
Provider Name (Legal Business Name): EIKO KLIMANT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

844 N 5TH AVE
SEQUIM WA
98382-3045
US

IV. Provider business mailing address

844 N 5TH AVE
SEQUIM WA
98382-3045
US

V. Phone/Fax

Practice location:
  • Phone: 360-683-9895
  • Fax: 360-582-5614
Mailing address:
  • Phone: 360-683-9895
  • Fax: 360-582-5614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberCDR.0004435
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD00045104
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD203674
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: