Healthcare Provider Details

I. General information

NPI: 1588113039
Provider Name (Legal Business Name): CLARA ESTHER PARK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2746 NE 45TH ST
SEATTLE WA
98105-5099
US

IV. Provider business mailing address

2746 NE 45TH ST
SEATTLE WA
98105-5099
US

V. Phone/Fax

Practice location:
  • Phone: 206-659-1783
  • Fax:
Mailing address:
  • Phone: 206-729-3080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number60666078
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: