C & R Helath

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60282066 Issued in WA

Legal business name

C & R HELATH

Doing business as

Clark Chiropractic

Practice address

20307 Viking Ave NW Ste 102
Poulsbo, WA 98370-8321

Phone

(360) 697-3737

Fax

(360) 779-6337

NPI assigned

Nov 6, 2012

Last updated

Nov 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chase N Clark, DCNPI 1447512231

Title

Owner

Phone

(360) 697-3737

Specialties & licenses 1

Addresses

Other names 1

• Clark Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chase Nathanial Clark, D.C.

  • Chiropractor
  • Poulsbo, WA
  • NPI 1447512231
  Authorized official Same address or phone

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1922352483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 VIKING AVE NW STE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708321",
            "telephone_number": "360-697-3737",
            "fax_number": "360-779-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 VIKING AVE NW STE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708321",
            "telephone_number": "360-697-3737",
            "fax_number": "360-779-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & R HELATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-697-3737",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60282066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael S. Burke, M.D.
• Kylie Burns
• Theresa Marie Butcher, PHARMD
• Mark Elliot Butler, PHARMACIST
• Edward O. Bye, R.PH.
• Robert Charles Callahan, D.O.
• Joel Camp
• Grace Campbell
• Holly Campbell, MSM, LM, CPM
• Shannon Rae Cantrell, SUDP

• Chiropractor in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.