Individual provider · Type 1 NPI

Forrest Joshua Clark

Student in an Organized Health Care Education/Training Program · Wheat Ridge, CO

NPI number 1962363796 Active

Practice location

11180 W 44th Ave Ste 106
Wheat Ridge, CO 80033-2513

Call (720) 465-1919 Map

Mailing address

6356 S Newland Ct
Littleton, CO 80123-3862

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962363796

Forrest Joshua Clark's National Provider Identifier is 1962363796, issued on Nov 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Nov 20, 2025.