Clark, Denise Michelle

Clark, Denise Michelle is an individual health care provider with primary practice located at 12911 120Th Ave Ne Suite H 220, Kirkland WA 98034-3027. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Clark, Denise Michelle can be contacted via phone (425) 216-7075.

Contact Information

Primary practice address
12911 120Th Ave Ne Suite H 220 Kirkland WA 98034-3027
Phone: (425) 216-7075
Fax: (425) 216-7094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00001716 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 9711000164 Washington

Profile Details

NPI number 1528198389
LBN Legal business name Clark, Denise Michelle
Credentials OTR CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Oct 18th, 2011 - about 13 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 1528198389 NPPES
Washington Other 7466CL REGENCE
Washington Other 126095 REGENCE
Washington MEDICAID 7680697 REGENCE

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