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

Tina Marie Clark

Individual provider Nursing Care Agency · NPI 1609748276

Tina Marie Clark is a Nursing Care Agency in Otis Orchards, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

20812 E Watson Ln
Otis Orchards, WA 99027-8234
Phone: (509) 850-6519
Show map & directions

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

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X · Licence RN00146844 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP.AP.70120514-NP (WA)

Record details

NPI number1609748276
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2025
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026