Individual
DR. DALE EUGENE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
109 RAINIER AVE SO STE C, EATONVILLE, WA 98328-0546
(360) 832-6200
Mailing address
PO BOX 546, 109 RAINIER AVE SO, STE C, EATONVILLE, WA 98328-0546
(360) 832-6200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001250
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103109
DSHS
WA
Enumeration date
02/15/2007
Last updated
07/08/2007
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