Organization
OWEN E CLARK MD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN E. CLARK M.D. (PRESIDENT)
(206) 523-6798
Entity
Organization
Contact information
Practice address
10010 41ST AVE NE, SEATTLE, WA 98125-8106
(206) 523-6798
Mailing address
10010 41ST AVE NE, SEATTLE, WA 98125-8106
(206) 523-6798
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
12909
WA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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