Clifton Lee Malm, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

992 Issued in WA

Practice address

2516 Elmway
Okanogan, WA 98840-9629

Phone

(150) 942-2470

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467592923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 ELMWAY",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988409629",
            "telephone_number": "150-942-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 ELMWAY",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988409629",
            "telephone_number": "150-942-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALM",
        "first_name": "CLIFTON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2566305",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kelly-Malone, OTR-L
• Rita Kessell, LMP
• Jenell Lynn Kruse, LMP
• Wayne David Lawson, D.C.
• Kevin L Mallory, PA-C
• Oleksiy Motch, DDS
• Ashley Grace Nickell
• Okanogan County Community Action Council
• Okanogan County Juvenile Department
• Okanogan County Public Health (Public Health)

• Chiropractor in Okanogan, WA
• Providers in Okanogan, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.