Organization
MASHELL CHIROPRACTIC CLINIC, INC.
Active
Organization
MASHELL CHIROPRACTIC CLINIC, INC.
Active
Other names
Dale E. Clark, D.C., P.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE EUGENE CLARK D.C. (OWNER/PRESIDENT)
(360) 832-6200
Entity
Organization
Contact information
Practice address
109 RAINIER AVE SO, SUITE C, EATONVILLE, WA 98328-0546
(360) 832-6200
(360) 832-6201
Mailing address
PO BOX 546, 109 RAINIER AVE SO, STE C, EATONVILLE, WA 98328-0546
(360) 832-6200
(360) 832-6201
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH0001250
WA
Other
Enumeration date
11/30/2011
Last updated
02/28/2012
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