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

Matthew Clark

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1689556201

Matthew Clark is a Nurse Practitioner in Olympia, Washington. Qualified in 2024, 2 years ago. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2025

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 257
Olympia, WA 98507-0257
Phone: (206) 208-8957
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61636762 (WA)

Record details

NPI number1689556201
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing addressPo Box 257, Olympia, WA 98507-0257

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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