Individual
CLARK PAUL RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1700 NW CIVIC DR, GRESHAM, OR 97030-3770
(503) 666-8832
(503) 669-8641
Mailing address
2728 DURANT AVE, BERKELEY, CA 94704-1725
(707) 494-5840
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3245
OR
Other
Enumeration date
09/09/2012
Last updated
05/20/2020
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