Harold Christopher Clark II

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

6511 NE 18TH St
Vancouver, WA 98661-6869

Phone

(360) 753-6082

NPI assigned

Mar 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1629461355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16021 NE 37TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986827461",
            "telephone_number": "360-713-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 NE 18TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616869",
            "telephone_number": "360-753-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HAROLD",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Clayton Clark, M.D.
• Deirdre Lynn Clark
• Dionne Marie Clark, CPC, AAC
• Finn Clark
• Graham Scott Clark, MD
• Jeffrey M Clark, PA-C
• Kathryn Clark, AAC
• Katie Clark
• Laura Marie Clark, MSW, MA
• Laurel Megan Clark, LMT

• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.