Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA MARIE CLARK
Active Sole ProprietorTINA MARIE CLARK is a Hospice Care, Community Based healthcare provider located in OTIS ORCHARDS, Washington. NPI 1609748276 is currently active in the NPPES registry. Verify at CMS.
Hospice Care, Community Based · OTIS ORCHARDS, WA
Registration Details
- NPI Number
- 1609748276
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2025 (0.91956360335388 yrs)
- Last Updated
- Sep 22, 2025
- License
-
RN00146844 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20812 E WATSON LNOTIS ORCHARDS, WA, 990278234Browse WA providers · Browse ZIP 99027
- Phone
- 5098506519
- Primary Specialty
-
Hospice Care, Community Based
251J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.