Clark, Graham Scott
Clark, Graham Scott is an individual health care provider with primary practice located at 2525 Ne 139Th St Ste 240, Vancouver WA 98686-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Clark, Graham Scott can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
2525 Ne 139Th St Ste 240
Vancouver WA 98686-2719
Phone: (360) 882-2778
Fax: (360) 604-1726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD60250520 | Washington |
Profile Details
| NPI number | 1861684581 |
|---|---|
| LBN Legal business name | Clark, Graham Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Nov 5th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861684581 | NPPES |
| Florida | MEDICAID | 002796100 |
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