NPIMap

Organization Active NPI

Owen E Clark MD Inc PS

  • Adult Mental Health Clinic/Center
  • Seattle, WA
National Provider Identifier
1336385533
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
12909 Issued in WA
Legal business name
OWEN E CLARK MD INC PS
Practice address
10010 41St Ave NE
Seattle, WA 98125-8106
Phone
(206) 523-6798
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Owen E. Clark, M.D.
Title
President
Phone
(206) 523-6798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 12909 WA Primary

Addresses

Primary practice location

10010 41St Ave NE
Seattle, WA 98125-8106

Mailing address

10010 41St Ave NE
Seattle, WA 98125-8106
Phone (206) 523-6798

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1336385533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 41ST AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258106",
            "telephone_number": "206-523-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 41ST AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258106",
            "telephone_number": "206-523-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN E CLARK MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-523-6798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "12909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.