Individual
DR. GREGORY LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11790 SW BARNES RD, SUITE 330, PORTLAND, OR 97225-5934
(503) 228-4414
Mailing address
11790 SW BARNES RD, SUITE 330, PORTLAND, OR 97225-5934
(503) 228-4414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OR MD18493
OR
174400000X
Specialist
WA MD00035294
WA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD18493
OR
Other
Enumeration date
08/16/2006
Last updated
03/10/2014
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