SearchWashington101YM0800X

Cary Clark

NPI 1477947190 · on the registry since 2015 · sole proprietor

Practice

Address
2218 Jackson Ave Nw
Olympia, WA 98502
Phone
(270) 305-9625

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
103K00000X
104100000X
1041C0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington