Michael Stuart Clark
Psychiatry & Neurology, Psychiatry in Seattle, WA. Individual provider (NPI-1).
NPI number1720164528
StatusActive
Last updated in NPPESOct 19, 2007
Details
- NPI
- 1720164528
- Entity type
- Individual (NPI-1)
- Name
- Michael Stuart Clark
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2006
- Last updated
- Oct 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD00039466 | WA | Yes |
Practice location
Harborview Medical Center325 9th Ave
Seattle, WA 98104
Phone 206-731-3000
Mailing address
Po Box 50095Seattle, WA 98145-5095
Phone 206-543-6420
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