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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