Krista Clark
Case Manager/Care Coordinator in White Salmon, WA. Individual provider (NPI-1).
NPI number1801464698
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1801464698
- Entity type
- Individual (NPI-1)
- Name
- Krista Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
432 Ne Tohomish StWhite Salmon, WA 98672-1940
Phone 509-575-4084
Mailing address
Po Box 959Yakima, WA 98907-0959
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