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Individual

DARIN J CLEMENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-1636
(541) 388-1719
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 388-1636
(541) 388-1719

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA00624
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500608590
OR
Enumeration date
12/29/2006
Last updated
04/17/2020
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