Individual
MS. AMBER LEE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
701 NW ARIZONA AVE, SUITE 200, BEND, OR 97701-3298
(541) 678-4212
Mailing address
701 NW ARIZONA AVE, SUITE 200, BEND, OR 97701-3298
(541) 678-4212
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
10629
OR
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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