Search › Washington › 2080P0006X
Michelle Clark, D.O
NPI 1588804082 · on the registry since 2009
Practice
- Address
- 9040 Jackson Ave
Tacoma, WA 98431 - Phone
- (253) 968-3885
- Organisation at this address
- Amc Madigan-Ft Lewis
Kroll Anesthesia Services
Defense Finance & Actg ServInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,223
Registry record
- Primary taxonomy
- 2080P0006X
2080P0006X
- Also registered as
- 208D00000X
390200000X - Licence states on file
- HI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-06
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