Clark, Robert Leon

Clark, Robert Leon is an individual health care provider with primary practice located at 17058 Se 58Th St , Bellevue WA 98006-5595. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Clark, Robert Leon can be contacted via phone (206) 790-2397.

Contact Information

Primary practice address
17058 Se 58Th St Bellevue WA 98006-5595
Phone: (206) 790-2397
Fax: (425) 641-4827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD 00030055 Washington
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD 00030055 Washington

Profile Details

NPI number 1508850181
LBN Legal business name Clark, Robert Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Sep 28th, 2016 - about 8 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 1508850181 NPPES
Washington MEDICAID 1508850181
Washington Other 38110
Washington Other 810000222
Washington Other P01365435

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