Organization
DOMAIN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CLARK (OWNER)
(206) 208-8957
Entity
Organization
Contact information
Practice address
819 N 49TH ST STE 302, SEATTLE, WA 98103-6577
(206) 208-8957
Mailing address
PO BOX 257, PMB 11130, OLYMPIA, WA 98507-0257
(206) 208-8957
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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