Individual
ADRIENNE L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2505 2ND AVE STE 200, SEATTLE, WA 98121-1495
(206) 443-0400
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60877076
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821364142
—
WA
Enumeration date
03/30/2012
Last updated
01/09/2019
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