Individual
DR. TREVOR CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
780 G ST, WASHOUGAL, WA 98671-1326
(971) 285-5861
Mailing address
3904 NE 242ND AVE, CAMAS, WA 98607-7189
(971) 285-5861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60442629
WA
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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