MICHELLE CLARK, D.O.
Developmental - Behavioral Pediatrics Physician · TACOMA, WA
Individual Active NPI 1588804082
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | ✓ | DOS-1211 | HI |
| General Practice Physician | 208D00000X | DOS-1211 | HI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.