Individual
SUSAN L CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9515 60TH AVE W, MUKILTEO, WA 98275
(425) 355-2800
(425) 355-2882
Mailing address
9515 60TH AVE W, MUKILTEO, WA 98275
(425) 355-2800
(425) 355-2882
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
025209MD00022790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117944
—
WA
01
—
148493100000
PREMERA
—
01
—
177558
VALUEOPTIONS
WA
01
—
381601
PACIFICARE
—
01
—
389227520070221
COMMUNITY HEALTH PLAN
WA
01
—
822269436
UNITED BEHAVIORAL HEALTH
WA
01
—
91202381600
UNIFORM
—
01
—
9120238161816CL
REGENCE
—
Enumeration date
02/28/2007
Last updated
12/20/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us