MICHELLE CLARK D.O. NPI 1588804082

NPI Information

NPI: 1588804082
Provider Name: MICHELLE CLARK, D.O.
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

Address:
9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (253) 968-3885
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Michelle Clark, D.O. is a developmental - behavioral pediatrics pediatrics in Tacoma, WA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. Michelle Clark, D.O. NPI is 1588804082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9040 JACKSON AVE
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-3885

The enumeration date for this NPI number is 2/24/2009 and was last updated on 1/6/2022.

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	208D00000X	General Practice		DOS-1211	HAWAII	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	DOS-1211	HAWAII	Yes

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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