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Individual

DAVID CLEMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
7423257
OR

Other

Enumeration date
11/11/2014
Last updated
11/11/2014
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