Clark, Christina

Clark, Christina is an individual health care provider with primary practice located at 1400 E Kincaid St , Mount Vernon WA 98274-4127. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Clark, Christina can be contacted via phone (360) 428-2586.

Contact Information

Primary practice address
1400 E Kincaid St Mount Vernon WA 98274-4127
Phone: (360) 428-2586
Fax: (360) 428-6470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA61126680 Washington

Profile Details

NPI number 1386262830
LBN Legal business name Clark, Christina
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2020
Last updated Sep 18th, 2023 - about 2 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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