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Tina Clark — NPI 1609748276, Otis Orchards, WA | NPI Central

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Tina Clark

NPI 1609748276 · Nursing Care Agency · Otis Orchards, WA

Provider details

NPI number: 1609748276
Entity type: Individual
Primary specialty: Nursing Care AgencyAgencies
Sex: Female
Sole proprietor: Yes
License: RN00146844 (WA)

Specialties & taxonomies

Nursing Care AgencyPrimary251J00000XLicense RN00146844 (WA)
Agencies

Practice location

20812 E Watson Ln

Otis Orchards, WA 99027-8234

Phone: (509) 850-6519

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

20812 E Watson Ln

Otis Orchards, WA 99027-8234

Registry dates

Enumerated: 2025-09-22
Last updated: 2025-09-22
Certified: 2025-09-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.