Individual
KOHL CLARK MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1400 EXECUTIVE PKWY, EUGENE, OR 97401-6712
(541) 345-1669
(541) 359-2238
Mailing address
1400 EXECUTIVE PKWY STE 220, EUGENE, OR 97401-7109
(541) 345-1669
(541) 359-2238
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5942
OR
Other
Enumeration date
11/01/2018
Last updated
04/06/2020
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