Individual
ALISHA SUE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4385 SATTER PL NE, SALEM, OR 97305-4107
(503) 812-1280
Mailing address
4385 SATTER PL NE, SALEM, OR 97305-4107
(503) 812-1280
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
19278
OR
Other
Enumeration date
11/20/2012
Last updated
11/21/2012
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