Clark, James E

Clark, James E is an individual health care provider with primary practice located at 3021 Griffin Ave , Enumclaw WA 98022-2369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, James E can be contacted via phone (360) 825-6511.

Contact Information

Primary practice address
3021 Griffin Ave Enumclaw WA 98022-2369
Fax: (360) 825-6536
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00013526 Washington

Profile Details

NPI number 1336159482
LBN Legal business name Clark, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 22nd, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336159482 NPPES
Washington MEDICAID 1062207
Washington Other 8928598
Washington Other 126689

Popular Providers