Organization
CLARK CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN NED CLARK DC (OWNER)
(360) 692-1178
Entity
Organization
Contact information
Practice address
9100 SILVERDALE WAY NW, SILVERDALE, WA 98383-8389
(360) 692-1178
Mailing address
9100 SILVERDALE WAY NW, SILVERDALE, WA 98383-8389
(360) 692-1178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1687
LIC#
WA
01
—
184303
L&I PR#
WA
01
—
5370CL
REG BS
WA
01
—
54222
1ST CHOICE
WA
Enumeration date
08/13/2006
Last updated
08/22/2020
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