Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Calvin Clarke

Individual provider Family Nurse Practitioner · NPI 1851761027

Calvin Clarke is a Nurse Practitioner in Puyallup, Washington. Qualified in 2013, 13 years ago. Practices with Providence Health and Services - Washington, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2015
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Practice location Address checks out

11019 Canyon Rd E Ste A
Puyallup, WA 98373-3001
Phone: (253) 537-0293
Fax: (253) 537-7650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1011 E Main, Puyallup, WA 98372-6779 — (253) 841-2471

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60498791 (WA)

Record details

NPI number1851761027
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 1, 2015
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020
Mailing addressPo Box 5127, Everett, WA 98206-5127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Providence Health And Services - Washington — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup