Clark, Caroline

Clark, Caroline is an individual health care provider with primary practice located at 602 E Nob Hill Blvd , Yakima WA 98901-3534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Caroline can be contacted via phone (509) 248-3334.

Contact Information

Primary practice address
602 E Nob Hill Blvd Yakima WA 98901-3534
Phone: (509) 248-3334
Fax: (509) 453-6144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006884 Washington

Profile Details

NPI number 1861586182
LBN Legal business name Clark, Caroline
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861586182 NPPES
Washington Other 5262CL REGENCE
Washington Other 0192516 REGENCE
Washington MEDICAID 9643461 REGENCE
Washington Other 9643461 REGENCE
Washington Other 8940611 REGENCE

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