What is Theodore Clark's NPI number?

Theodore Clark's National Provider Identifier (NPI) is 1861705964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Theodore Clark's specialty?

Theodore Clark is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).

Where is Theodore Clark located?

Theodore Clark's practice location on file with NPPES is 17422 108th Ave Se, Renton, WA 98055-5400.

What is Theodore Clark's phone number?

The practice phone number listed in the NPPES registry for Theodore Clark is (425) 255-0427.

Is Theodore Clark's NPI active?

Yes — Theodore Clark's NPI (1861705964) is active in the NPPES registry as of the last update on 2010-07-17.

IndividualActive

Theodore Clark, D.C.

NPI 1861705964 · Chiropractor · Renton, WA

Theodore Clark, D.C. is a Chiropractor provider in Renton, WA (NPI 1861705964).

Provider details

NPI number: 1861705964
Entity type: Individual
Primary specialty: ChiropractorChiropractic Providers
Credential: D.C.
Sex: Male
Sole proprietor: Yes
License: 2219 (WA)

Specialties & taxonomies

ChiropractorPrimary111N00000XLicense 2219 (WA)
Chiropractic Providers

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

17422 108th Ave Se

#101

Renton, WA 98055-5400

Phone: (425) 255-0427

Fax: (425) 255-1066

Street-level locationGet directions

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Mailing address