# DR STEVEN CLARK AND ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932566320
- **Authorized official:** DR. STEVEN CLARK O.D. (OPTOMETRIST)
- **Authorized official phone:** (503) 618-1119

## Contact information

- **Practice address:** 697 NW DIVISION ST, GRESHAM, OR 97030-5424
- **Practice address phone:** (503) 618-1119
- **Practice address fax:** (503) 661-1298
- **Mailing address:** 697 NW DIVISION ST, GRESHAM, OR 97030-5424
- **Mailing address phone:** (503) 618-1119
- **Mailing address fax:** (503) 661-1298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2307-AT | OR | Yes |

## Other

- **Enumeration date:** 01/15/2016
- **Last updated:** 03/11/2016