OWEN E CLARK MD INC PS NPI 1336385533

NPI Information

NPI: 1336385533
Provider Name: OWEN E CLARK MD INC PS
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
10010 41ST AVE NE
SEATTLE, WA
ZIP 98125
Phone: (206) 523-6798
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OWEN E CLARK MD INC PS is an adult mental health clinic center in Seattle, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. OWEN E CLARK MD INC PS NPI is 1336385533. The provider is registered as an organization entity type.

The provider's business location address is:

10010 41ST AVE NE
SEATTLE, WA
ZIP 98125-106
Phone: (206) 523-6798

The provider's authorized official is Owen E. Clark .
The authorized official title is President and has the following contact phone number (206) 523-6798.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 12/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	12909	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AO4263	MEDICARE UPIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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