SearchWashington225700000X

Elaine Clark, LMP

NPI 1750684627 · on the registry since 2010 · sole proprietor

Practice

Address
9730 State Route 532 Ste D
Stanwood, WA 98292
Phone
(360) 572-3709
Fax
(360) 572-3709

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
174400000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-20

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