Individual
DR. CLARA LYNN MEDALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
13033 SE RUSK RD, PORTLAND, OR 97222-2107
(503) 847-9466
Mailing address
19751 RIVER RD APT G, GLADSTONE, OR 97027-2224
(406) 551-0494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6155
OR
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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