MASHELL CHIROPRACTIC CLINIC INC. NPI 1841567252

NPI Information

NPI: 1841567252
Provider Name: MASHELL CHIROPRACTIC CLINIC, INC.
Classification: Clinic/Center - 261QH0100X
Specialization: Health Service
Entity Type: Organization
Doing Business As: DALE E. CLARK, D.C., P.S.
Address: 109 RAINIER AVE SO
SUITE C
EATONVILLE, WA
ZIP 98328
Phone: (360) 832-6200

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NPI Details

MASHELL CHIROPRACTIC CLINIC, INC. is a health service clinic center in Eatonville, WA. MASHELL CHIROPRACTIC CLINIC, INC. NPI is 1841567252. The provider is registered as an organization entity type.
The provider Is Doing Business As Dale E. Clark, D.c., P.s..

The provider's business location address is:

109 RAINIER AVE SO
SUITE C
EATONVILLE, WA
ZIP 98328-546
Phone: (360) 832-6200
Fax: (360) 832-6201

The provider's authorized official is Dale Eugene Clark .
The authorized official title is Owner/president and has the following contact phone number (360) 832-6200.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 2/28/2012.

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	261QH0100X	Clinic/Center	Health Service	CH0001250	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	G001001561	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: 3/30/2025

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