Individual
CLARK A MORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 NORTH FOURTH STREET, PASCO, WA 99320-5257
(253) 838-6180
(253) 838-6418
Mailing address
505 S 336TH STREET, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00030982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220446
LIWA
WA
01
—
0222148
LIWA
WA
01
—
0227044
LIWA
WA
05
—
244194
—
OR
01
—
3455MO
BSWA
WA
05
—
8481384
—
WA
01
—
8796MO
BSWA
WA
05
—
8866141
—
WA
Enumeration date
10/26/2005
Last updated
02/27/2008
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