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Contact Information

HOLLY H CLARK, PA-C
115 SUNNYSIDE AVE
GRANGER, WA98932
 Phone: 509-865-6450
 Fax: 509-854-1919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HOLLY H CLARK · (Female)

NPI # 1447409446
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/15/2008
Last updated 03/16/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA60726169
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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