TINA MARIE CLARK NPI 1609748276

NPI Information

  • NPI: 1609748276
  • Provider Name: TINA MARIE CLARK
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Individual
  • Address: 20812 E WATSON LN
    OTIS ORCHARDS, WA
    ZIP 99027
  • Phone: (509) 850-6519

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NPI Details

Tina Marie Clark is a nursing care in Otis Orchards, WA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. Tina Marie Clark NPI is 1609748276. 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:

20812 E WATSON LN
OTIS ORCHARDS, WA
ZIP 99027-234
Phone: (509) 850-6519

The enumeration date for this NPI number is 9/22/2025 and was last updated on 9/22/2025.

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
1251J00000XNursing CareRN00146844WASHINGTONYes

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: 11/21/2025

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