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Heidi Clark
NPI 1154614808 · on the registry since 2011 · sole proprietor
Practice
- Address
- 31912 Little Boston Rd Ne
Kingston, WA 98346 - Phone
- (360) 633-1902
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington