Clark Chiropractic and Massage Ps
NPI 1659783363ActiveOrganization· Clinic/Center· Port Angeles, WA
Clinic/Center in Port Angeles, Washington, registered in NPPES in May 2014. The authorized official on file is Dustin Clark, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659783363 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2014 |
| Last updated in NPPES | May 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | CHIR.CH.60465702 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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