Heidi C. Clark
Case Manager/Care Coordinator · Kingston, WA
Practice location
31912 Little Boston Rd NEKingston, WA 98346-9700
- Phone
- (360) 633-1902
NPI record
- NPI
- 1154614808
- Entity type
- Individual (Type 1)
- Enumeration date
- May 26, 2011
- Last updated
- May 26, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X |
CP00005554 | WA |
Mailing address
PO Box 65Suquamish, WA 98392-0065
- Phone
- (360) 265-0270
About Heidi Clark
Heidi C. Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 31912 Little Boston Rd NE, Kingston, WA 98346-9700. The NPI number 1154614808 was assigned on May 26, 2011 and the record was last updated on May 26, 2011.
Heidi Clark lists a license in the registry: #CP00005554 (WA) for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Heidi C. Clark?
The NPI number is 1154614808.
What is the phone number of Heidi Clark?
The phone number listed for the practice location is (360) 633-1902.
Where is Heidi Clark located?
31912 Little Boston Rd NE, Kingston, WA 98346-9700.
What is the taxonomy code for Heidi Clark?
The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.