Individual
MS. CONNIE RUTH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
710 SW ROCK CREEK DR, STEVENSON, WA 98648-4418
(509) 427-3850
(509) 427-0188
Mailing address
PO BOX 1492, STEVENSON, WA 98648-1492
(509) 427-3850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60258145
WA
Other
Enumeration date
07/10/2008
Last updated
03/19/2019
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