DR. DALE EUGENE CLARK (NPI# 1386787398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386787398 |
| Entity Type | Individual |
| Full Name | DR. DALE EUGENE CLARK |
| Credential | DC |
| Practice Address |
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 |
| Practice Telephone | 3608326200 |
| Mailing Telephone | 3608326200 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00001250 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DSHS | 2103109 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720153026 | Dale Thomas Clark | Chiropractor | 8907 Warner Ave Ste 160, Huntington Beach, CA 92647-5099 | 2006-11-21 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1720400153 | Dale Clark | Massage Therapist | 3411 S Camino Seco Unit 231, Tucson, AZ 85730-2815 | 2014-01-21 |
| 1689824088 | Dale D Clark | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2008-09-23 |
| Street Address |
109 RAINIER AVE SO STE C |
| City | EATONVILLE |
| State | WA |
| Zip Code | 98328-0546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087706 | Melissa Dawn Taylor | Specialist/Technologist | 209 Lynch Creek Rd. E., Eatonville, WA 98328 | 2020-09-15 |
| 1922651652 | Diane Marie Crum | Nurse Practitioner | 118 Washington Ave. N, Eatonville, WA 98328 | 2019-07-22 |
| 1194182493 | Athena Ann Brown | Massage Therapist | 207 Center St E #c, Eatonville, WA 98328 | 2016-01-19 |
| 1881000446 | Rebecca Atkins | Counselor | 207 Center St E Ste C, Eatonville, WA 98328 | 2014-07-03 |
| 1215375118 | Diana Gay Root | Specialist/Technologist | 211 Rainier Ave N., Eatonville, WA 98328 | 2013-06-13 |
| 1235577222 | Joanne Thyme Barrett | Speech-Language Pathologist | 213 Rainier Ave, Eatonville, WA 98328 | 2013-06-12 |
| 1063673168 | Gloria Vaneaton Lowe | Family Medicine | 118 Washington Ave No, Eatonville, WA 98328 | 2008-06-20 |
| 1760654230 | Sandra J Forsythe | Custodial Care Facility | 34911 78th Ave E, Eatonville, WA 98328 | 2008-03-25 |
| 1689791378 | Gretchen Christine Jones | Midwife | 207 Center Street East, Eatonville, WA 98328 | 2007-03-26 |
| 1396860375 | Debra Frazier Grant | Nurse Practitioner | 207 Center St E, Eatonville, WA 98328 | 2007-03-20 |
| Find all providers in zip 98328 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457369449 | Cross Chiropractic Ps | Chiropractor | 47207 138th Ave E, Eatonville, WA 98328 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416538 | Robert Martinez Molato | Chiropractor | 5106 Donnelly Dr Se, Olympia, WA 98501-5012 | 2020-10-26 |
| 1134726417 | Logan Chavez | Chiropractor | 1000 E Harvest Loop Apt 901, Ellensburg, WA 98926-5423 | 2020-10-08 |
| 1467059212 | Anderson Chiropractic Corporation, P.s. | Chiropractor | 6720 Regents Blvd Ste 108, University Place, WA 98466-5400 | 2020-10-05 |
| 1063019966 | Madison Allen | Chiropractor | 12339 Clubhouse Ln, Mukilteo, WA 98275-5577 | 2020-10-04 |
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1124633466 | Nolan Craig Ethridge | Chiropractor | 11515 Burnham Dr # 101, Gig Harbor, WA 98332-8543 | 2020-09-14 |
| 1235743402 | Caleb Mcinnis | Chiropractor | 18336 Aurora Ave N Ste 111, Shoreline, WA 98133-4526 | 2020-09-03 |
| 1174135925 | Brent Duncan | Chiropractor | 4813 Sw Walker St, Seattle, WA 98116-2149 | 2020-08-21 |
| 1336750900 | Hanchuan Ma | Chiropractor | 4744 41st Ave Sw Apt 415, Seattle, WA 98116-4568 | 2020-08-16 |
| 1285244079 | Wellness Group Pllc | Chiropractor | 2007 152nd Ave Ne Ste W, Redmond, WA 98052-5521 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | EATONVILLE |
| Zip Code | 98328 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.