Individual
CAROL KUMPULA-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4242 COMMERCE ST, SUITE A, EUGENE, OR 97402-5412
(541) 484-9632
(541) 484-7466
Mailing address
4242 COMMERCE ST, SUITE A, EUGENE, OR 97402-5412
(541) 484-9632
(541) 484-7466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3359
OR
Other
Enumeration date
05/03/2006
Last updated
12/13/2007
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