Clark, Michelle

Clark, Michelle is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-5001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Clark, Michelle can be contacted via phone (253) 968-3885.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-5001
Phone: (253) 968-3885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X DOS-1211 Hawaii
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X DOS-1211 Hawaii

Profile Details

NPI number 1588804082
LBN Legal business name Clark, Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2009
Last updated Jan 6th, 2022 - 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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