Individual provider · Type 1 NPI
Dale Eugene Clark, DC
Chiropractor · Eatonville, WA
NPI number
1386787398
Active
Practice location
109 Rainier Ave So Ste C
Eatonville, WA 98328-0546
Mailing address
PO Box 546, 109 Rainier Ave So, Ste C
Eatonville, WA 98328-0546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH00001250 (WA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1386787398
Dale Eugene Clark, DC's National Provider Identifier is 1386787398, issued on Feb 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Eatonville, WA. The record was last updated on Jul 8, 2007.