Organization
CLARK CHIROPRACTIC AND MASSAGE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN CLARK D.C. (PRESIDENT)
(360) 452-7636
Entity
Organization
Contact information
Practice address
601 S RACE ST STE C, PORT ANGELES, WA 98362-6400
(360) 452-7636
Mailing address
601 S RACE ST STE C, PORT ANGELES, WA 98362-6400
(360) 452-7636
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHIR.CH.60465702
WA
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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