| Doctor Name: | RALEIGH B CLOUGH |
| NPI Number: | 1316016082 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 2909 |
| Business Practice Address: | 3043 Ne 28th St Lincoln City, OR - 973674518 |
| Business Phone Number: | 5419967160 |
| Business Fax Number: | 5419967223 |
| Mailing Address: | 93 Ne Indian Shrs, LINCOLN CITY |
| State: | OR |
| Postal Code: | 973673652 |
| Phone Number: | 5419948868 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 12/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | 2909 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |