MARK JUSTIN CLARY (NPI# 1427403369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427403369 |
| Entity Type | Individual |
| Full Name | MARK JUSTIN CLARY |
| Credential | LMP |
| Practice Address |
8294 28th Ct Ne Ste 100 Lacey WA 98516-7140 |
| Mailing Address |
390 W Insels Rd Shelton WA 98584-9167 |
| Practice Telephone | 3609519211 |
| Mailing Telephone | 3609519211 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA60439284 | WA | Other Service Providers |
| Street Address |
8294 28TH CT NE STE 100 |
| City | LACEY |
| State | WA |
| Zip Code | 98516-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144778259 | Jennifer Coulter | Specialist | 4315 Mckinley St Ne, Lacey, WA 98516-6281 | 2016-09-17 |
| 1669868782 | Stephanie Clementine Schiavoni | Specialist | 418 Carpenter Rd Se Ste 102, Lacey, WA 98503-7905 | 2015-04-15 |
| 1235542663 | Sadie Karean Bennett | Specialist | 8545 Oxford Ave Se, Lacey, WA 98503-6218 | 2014-06-03 |
| 1265796411 | Melissa J Mercer | Specialist | 8830 Tallon Ln Ne, Lacey, WA 98516-6641 | 2012-07-02 |
| 1881969830 | Colleen Kost | Specialist | 1307 Merkel St Ne, Lacey, WA 98516-5423 | 2012-03-08 |
| 1831478718 | Bodywork and Massage Center | Specialist | 1210 Sleater Kinney Road Souteast, Lacey, WA 98503 | 2011-08-10 |
| 1063737823 | Monica Hodges | Specialist | 4704 Pacific Ave. Se, Suite B, Lacey, WA 98503 | 2010-04-05 |
| 1972832848 | Chelsea Mariah Schindler | Specialist | 5831 Lacey Blvd Se Ste G, Lacey, WA 98503-7241 | 2009-12-23 |
| 1306077334 | Aphton Marie Kirschbaum | Specialist | 7132 34th Ave Ne, Lacey, WA 98516-1407 | 2009-08-08 |
| 1710112107 | Richard Leo Fenton | Specialist | 4200 6th Ave Se Ste 202, Lacey, WA 98503-1042 | 2009-05-28 |
| Find all providers in LACEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.