| Owen E Clark Md Inc Ps | |
|
10010 41st Ave Ne Seattle WA 98125-8106 | |
| (206) 523-6798 | |
| Not Available |
| Full Name | Owen E Clark Md Inc Ps |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10010 41st Ave Ne, Seattle, Washington |
| Authorized Official Name and Position | Owen E. Clark (PRESIDENT) |
| Authorized Official Contact | 2065236798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owen E Clark Md Inc Ps 10010 41st Ave Ne Seattle WA 98125-8106 Ph: (206) 523-6798 | Owen E Clark Md Inc Ps 10010 41st Ave Ne Seattle WA 98125-8106 Ph: (206) 523-6798 |
| NPI Number | 1336385533 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 12/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336385533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 12909 (Washington) | Primary |
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