Individual
MRS. AMY RENAE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HEALTH CARE EDUCATOR
Contact information
Practice address
2725 SW CEDAR HILLS BLVD, BEAVERTON, OR 97005-1416
(503) 415-4060
(503) 415-4061
Mailing address
2725 SW CEDAR HILLS BLVD STE 250, BEAVERTON, OR 97005-1469
(503) 415-4060
(503) 415-4061
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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