Individual
DR. OWEN E. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10010 41ST AVE NE, SEATTLE, WA 98125-8106
(206) 523-6798
Mailing address
10010 41ST AVE NE, SEATTLE, WA 98125-8106
(206) 523-6798
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12909
WA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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