Clarke, Richard D

Clarke, Richard D is an individual health care provider with primary practice located at 400 S 3Rd St , Renton WA 98055-2026. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Clarke, Richard D can be contacted via phone (425) 353-3788.

Contact Information

Primary practice address
400 S 3Rd St Renton WA 98055-2026
Phone: (425) 353-3788
Fax: (425) 353-8041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30004891 Washington

Profile Details

NPI number 1417069451
LBN Legal business name Clarke, Richard D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417069451 NPPES
Washington Other 0153530 LABOR AND INDUSTRIES
Washington MEDICAID 9631946 LABOR AND INDUSTRIES

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