CRYSTAL JAN CLARK (CPC) – Peer Specialist, NPI 1477037513

CRYSTAL JAN CLARK (CPC) is a healthcare provider. based in University place, Washington. specializing in Peer Specialist. They hold the professional credentials CPC. The NPI Number for CRYSTAL JAN CLARK (CPC) is 1477037513

Main info

Female
Sole Proprietor
Name
CRYSTAL JAN CLARK (CPC)
NPI
1477037513
Phone
(253) 298-8759
Address
7790 40TH ST W APT A
Enumeration Date
24 September 2018
Last Update Date
22 September 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for CRYSTAL JAN CLARK (CPC)

  • 7790 40TH ST W APT A

    UNIVERSITY PLACE, WA 984663128

    Phone: (253) 298-8759

    Type: Mailing

  • 9720, South Tacoma Way, Lakewood, Pierce County, Washington, 98499, United States

    LAKEWOOD, WA 984994456

    Phone: (253) 328-5862

    Type: Location

  • 6400 SOUTHCENTER BLVD

    TUKWILA, WA 981882547

    Phone: (253) 298-8759

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98466)

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Reviews

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Frequently asked questions

How do I look up CRYSTAL JAN CLARK (CPC) by NPI?
Use NPI 1477037513 when you need to reference CRYSTAL JAN CLARK (CPC) in forms, claims, or directories.
Is CRYSTAL JAN CLARK (CPC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CRYSTAL JAN CLARK (CPC) work in?
You can think of CRYSTAL JAN CLARK (CPC) as practicing within Peer Specialist. Clinical services aligned with this taxonomy classification.
Does CRYSTAL JAN CLARK (CPC) practice in Washington?
You will see University Place, Washington on file for CRYSTAL JAN CLARK (CPC) alongside any extra practice locations.
Is CRYSTAL JAN CLARK (CPC) a real provider?
This page reflects official NPPES data for NPI 1477037513. Always confirm identity and privileges with the practice and licensing boards.

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