Individual
RACHEL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 SW 11TH AVE STE 1018, PORTLAND, OR 97205-2124
(971) 238-2409
Mailing address
833 SW 11TH AVE STE 1018, PORTLAND, OR 97205-2124
(971) 238-2409
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC177113
OR
175F00000X
Naturopath
Primary
3098
OR
Other
Enumeration date
07/08/2016
Last updated
09/18/2016
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